Provider Demographics
NPI:1558605584
Name:WINNOWSKI, SHANNON LEANNE
Entity Type:Individual
Prefix:
First Name:SHANNON
Middle Name:LEANNE
Last Name:WINNOWSKI
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 1:514 EDGERIDGE DR
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15234-2412
Mailing Address - Country:US
Mailing Address - Phone:412-952-1648
Mailing Address - Fax:
Practice Address - Street 1:514 EDGERIDGE DR
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15234-2412
Practice Address - Country:US
Practice Address - Phone:412-952-1648
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-11-15
Last Update Date:2012-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula