Basic Information
Provider Information
NPI: 1689862419
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: FRENCH
FirstName: SHAINA
MiddleName: MORGAN
NamePrefix:  
NameSuffix:  
Credential: RN, CNM
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: PO BOX 12622
Address2:  
City: BELFAST
State: ME
PostalCode: 049154017
CountryCode: US
TelephoneNumber: 4434816524
FaxNumber: 4434816515
Practice Location
Address1: 2003 MEDICAL PKWY
Address2: SUITE G50
City: ANNAPOLIS
State: MD
PostalCode: 214017992
CountryCode: US
TelephoneNumber: 4105731094
FaxNumber:  
Other Information
ProviderEnumerationDate: 10/05/2007
LastUpdateDate: 04/01/2015
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
367A00000XRR169794MDY Physician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife 

ID Information
IDTypeStateIssuerDescription
633909401MDAETNA HMOOTHER
981656401MDAETNA PPOOTHER
21310480005MD MEDICAID
6832001201MDCAREFIRSTOTHER
906675501MDCIGNAOTHER


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