Healthcare Provider Details

I. General information

NPI: 1811868599
Provider Name (Legal Business Name): MRS. SHANNA VALCY-PECH
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/15/2025
Last Update Date: 09/15/2025
Certification Date: 09/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6111 SCARLET DR
CINCINNATI OH
45224-2735
US

IV. Provider business mailing address

6111 SCARLET DR
CINCINNATI OH
45224-2735
US

V. Phone/Fax

Practice location:
  • Phone: 513-306-0336
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code176B00000X
TaxonomyMidwife
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: