Provider Demographics
NPI:1447780424
Name:WEBB, SHATAMIA J (CPM, LM)
Entity Type:Individual
Prefix:MRS
First Name:SHATAMIA
Middle Name:J
Last Name:WEBB
Suffix:
Gender:F
Credentials:CPM, LM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:120 ALLISTER RD
Mailing Address - Street 2:
Mailing Address - City:MAURICE
Mailing Address - State:LA
Mailing Address - Zip Code:70555-5056
Mailing Address - Country:US
Mailing Address - Phone:337-781-1667
Mailing Address - Fax:337-284-0984
Practice Address - Street 1:510 W UNIVERSITY AVE
Practice Address - Street 2:
Practice Address - City:LAFAYETTE
Practice Address - State:LA
Practice Address - Zip Code:70506-3652
Practice Address - Country:US
Practice Address - Phone:337-781-1667
Practice Address - Fax:337-284-0984
Is Sole Proprietor?:Yes
Enumeration Date:2017-06-13
Last Update Date:2022-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA305765176B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes176B00000XOther Service ProvidersMidwife