Provider Demographics
NPI:1508513987
Name:CHEESEMAN, SHANNON MARIE (CD(DONA))
Entity Type:Individual
Prefix:
First Name:SHANNON
Middle Name:MARIE
Last Name:CHEESEMAN
Suffix:
Gender:F
Credentials:CD(DONA)
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10579 E DESERT DRIFTER PL
Mailing Address - Street 2:
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85747-6031
Mailing Address - Country:US
Mailing Address - Phone:520-307-5393
Mailing Address - Fax:
Practice Address - Street 1:10579 E DESERT DRIFTER PL
Practice Address - Street 2:
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85747-6031
Practice Address - Country:US
Practice Address - Phone:520-307-5393
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-03-07
Last Update Date:2022-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula