Provider Demographics
NPI:1023794641
Name:MCSHANE, CHELSEA A (FULL SPECTRUM DOULA)
Entity type:Individual
Prefix:
First Name:CHELSEA
Middle Name:A
Last Name:MCSHANE
Suffix:
Gender:F
Credentials:FULL SPECTRUM DOULA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:964 CENTER ST
Mailing Address - Street 2:
Mailing Address - City:LITTLE EGG HARBOR TWP
Mailing Address - State:NJ
Mailing Address - Zip Code:08087-1346
Mailing Address - Country:US
Mailing Address - Phone:609-994-4164
Mailing Address - Fax:
Practice Address - Street 1:964 CENTER ST
Practice Address - Street 2:
Practice Address - City:LITTLE EGG HARBOR TWP
Practice Address - State:NJ
Practice Address - Zip Code:08087-1346
Practice Address - Country:US
Practice Address - Phone:609-994-4164
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-06-27
Last Update Date:2023-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula