Healthcare Provider Details
I. General information
NPI: 1366826919
Provider Name (Legal Business Name): SHEILA DENIKEN CNM
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 07/14/2015
Last Update Date: 04/18/2018
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1200 OLD YORK RD FL TOLL
ABINGTON PA
19001-3720
US
IV. Provider business mailing address
7 WINFIELD AVE
UPPER DARBY PA
19082-2204
US
V. Phone/Fax
- Phone: 215-481-6784
- Fax: 215-481-3611
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 176B00000X |
| Taxonomy | Midwife |
| License Number | MW010375 |
| License Number State | PA |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 367A00000X |
| Taxonomy | Advanced Practice Midwife |
| License Number | MW010375 |
| License Number State | PA |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: