Healthcare Provider Details

I. General information

NPI: 1942672886
Provider Name (Legal Business Name): SHAUNA MARIE FARMER
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/29/2015
Last Update Date: 07/28/2026
Certification Date: 07/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

110 W MARSHALL ST
RICHMOND VA
23220-3983
US

IV. Provider business mailing address

110 W MARSHALL ST APT A
RICHMOND VA
23220-3984
US

V. Phone/Fax

Practice location:
  • Phone: 541-363-2179
  • Fax:
Mailing address:
  • Phone: 541-363-2179
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code374J00000X
TaxonomyDoula
License Number
License Number StateOR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: