Provider Demographics
NPI:1205126729
Name:SHELDEN, DEBRA (CD)
Entity type:Individual
Prefix:MS
First Name:DEBRA
Middle Name:
Last Name:SHELDEN
Suffix:
Gender:F
Credentials:CD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 302
Mailing Address - Street 2:
Mailing Address - City:KIRKLAND
Mailing Address - State:WA
Mailing Address - Zip Code:98083-0302
Mailing Address - Country:US
Mailing Address - Phone:425-681-0736
Mailing Address - Fax:
Practice Address - Street 1:11215 CHAMPAGNE POINT RD NE
Practice Address - Street 2:
Practice Address - City:KIRKLAND
Practice Address - State:WA
Practice Address - Zip Code:98034-3427
Practice Address - Country:US
Practice Address - Phone:425-681-0736
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-04-18
Last Update Date:2011-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA602183277374J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula