MEDICARE: CIARA SHANK CNM

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	176B00000X	Midwife	APRN.CNM.019351	OH
2	367A00000X	Advanced Practice Midwife	SP023952	PA
3	367A00000X	Advanced Practice Midwife	MW010500	PA

General Provider Information

NPI Number	:	1285135459
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CIARA SHANK CNM

Provider Business Mailing Address
First Line	:	4310 LONDONDERRY RD STE 101
Second Line	:
City	:	HARRISBURG
State	:	PA
Zip	:	17109-5333
Country	:	US
Telephone Number	:	717-652-6605
Fax Number	:	717-652-6431

Provider Business Practice Location Address
First Line	:	4310 LONDONDERRY RD STE 101
Second Line	:
City	:	HARRISBURG
State	:	PA
Zip	:	17109-5333
Country	:	US
Telephone Number	:	717-652-6605
Fax Number	:	717-652-6431

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/23/2018
Last Update Date	:	12/08/2025

Similar Medicare Providers

1225040645 — DR. GREGORY DOUGLAS WOOD MD
Practice Location Address:

4310 LONDONDERRY RD , SUITE 101
HARRISBURG, PA
17109-5333

Practice Phone: 717-652-6605
Practice Fax: 717-652-6431

1619296951 — DR. JENNIFER RENEE CROMER PH.D.
Practice Location Address:

4310 LONDONDERRY RD STE 100
HARRISBURG, PA
17109-5333

Practice Phone: 717-791-2620
Practice Fax:

1073010989 — RONALD DIBBLE MD
Practice Location Address:

4310 LONDONDERRY RD STE 101
HARRISBURG, PA
17109-5333

Practice Phone: 717-652-6605
Practice Fax: 717-652-6431

1841821550 — CORRINA PARSONS DPT
Practice Location Address:

4310 LONDONDERRY RD STE 100
HARRISBURG, PA
17109-5333

Practice Phone: 717-791-2620
Practice Fax:

1518596105 — DR. CATHERINE BONGKA BAYE EASTON MD, MSPH
Practice Location Address:

4310 LONDONDERRY RD STE 101
HARRISBURG, PA
17109-5333

Practice Phone: 717-652-6605
Practice Fax: 717-652-6431

1235705658 — PINNACLE HEALTH MEDICAL SERVICES
Practice Location Address:

4310 LONDONDERRY RD STE 100
HARRISBURG, PA
17109-5333

Practice Phone: 717-791-2620
Practice Fax: 717-791-2621

Directions to “ CIARA SHANK CNM” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.