Provider Demographics
NPI:1508133166
Name:SHAWVER-LEVIN, BROOKE KRISTINA
Entity Type:Individual
Prefix:MRS
First Name:BROOKE
Middle Name:KRISTINA
Last Name:SHAWVER-LEVIN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:436 W SADDLEWORTH CT
Mailing Address - Street 2:
Mailing Address - City:MEQUON
Mailing Address - State:WI
Mailing Address - Zip Code:53092-3560
Mailing Address - Country:US
Mailing Address - Phone:773-844-9595
Mailing Address - Fax:
Practice Address - Street 1:436 W SADDLEWORTH CT
Practice Address - Street 2:
Practice Address - City:MEQUON
Practice Address - State:WI
Practice Address - Zip Code:53092-3560
Practice Address - Country:US
Practice Address - Phone:773-844-9595
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-11-28
Last Update Date:2011-11-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula