Provider Demographics
NPI:1922820034
Name:GARBER, SHANAN
Entity type:Individual
Prefix:
First Name:SHANAN
Middle Name:
Last Name:GARBER
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 1:324 S MARKET AVE
Mailing Address - Street 2:
Mailing Address - City:MOUNT JOY
Mailing Address - State:PA
Mailing Address - Zip Code:17552-2714
Mailing Address - Country:US
Mailing Address - Phone:717-875-1306
Mailing Address - Fax:
Practice Address - Street 1:324 S MARKET AVE
Practice Address - Street 2:
Practice Address - City:MOUNT JOY
Practice Address - State:PA
Practice Address - Zip Code:17552-2714
Practice Address - Country:US
Practice Address - Phone:717-875-1306
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-10-29
Last Update Date:2024-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula