Provider Demographics
NPI:1407092802
Name:MARCH, SHIETA F (WHCNP)
Entity Type:Individual
Prefix:
First Name:SHIETA
Middle Name:F
Last Name:MARCH
Suffix:
Gender:F
Credentials:WHCNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 660599
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75266-0599
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:6303 HARRY HINES BLVD STE 101
Practice Address - Street 2:MAPLE WOMEN'S HEALTH CENTER
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75235-5228
Practice Address - Country:US
Practice Address - Phone:214-266-0469
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-01-06
Last Update Date:2009-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX695736363LW0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX197900702Medicaid
TX197900707Medicaid
TX1979009710Medicaid
TX197900701Medicaid
TX197900704Medicaid
TX197900708Medicaid
TX8Y9328OtherBLUE CROSS BLUE SHIELD
TX197900705Medicaid
TX197900706Medicaid
TX197900703Medicaid
TX197900709Medicaid