Provider Demographics
NPI:1992030530
Name:SHIFFER, WENDY LOREE (DOULA, CBE, LE, ECE)
Entity Type:Individual
Prefix:
First Name:WENDY
Middle Name:LOREE
Last Name:SHIFFER
Suffix:
Gender:F
Credentials:DOULA, CBE, LE, ECE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:323 ENTERPRISE DR
Mailing Address - Street 2:
Mailing Address - City:BIRD IN HAND
Mailing Address - State:PA
Mailing Address - Zip Code:17505
Mailing Address - Country:US
Mailing Address - Phone:717-380-1393
Mailing Address - Fax:717-391-5891
Practice Address - Street 1:323 ENTERPRISE DR
Practice Address - Street 2:
Practice Address - City:BIRD IN HAND
Practice Address - State:PA
Practice Address - Zip Code:17505-9632
Practice Address - Country:US
Practice Address - Phone:717-380-1393
Practice Address - Fax:717-391-5891
Is Sole Proprietor?:Yes
Enumeration Date:2009-10-15
Last Update Date:2009-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula