Provider Demographics
NPI:1134992571
Name:SHOWS, CHANEL (CLC, DOULA)
Entity type:Individual
Prefix:
First Name:CHANEL
Middle Name:
Last Name:SHOWS
Suffix:
Gender:F
Credentials:CLC, DOULA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2609 W DARREL RD
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85041-6460
Mailing Address - Country:US
Mailing Address - Phone:503-964-1902
Mailing Address - Fax:
Practice Address - Street 1:2609 W DARREL RD
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85041-6460
Practice Address - Country:US
Practice Address - Phone:503-964-1902
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-11-06
Last Update Date:2023-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula