Provider Demographics
NPI:1225881410
Name:ETTERS, SHAYLIN
Entity type:Individual
Prefix:
First Name:SHAYLIN
Middle Name:
Last Name:ETTERS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:495 LITTLE CLEARFIELD CREEK RD
Mailing Address - Street 2:
Mailing Address - City:OLANTA
Mailing Address - State:PA
Mailing Address - Zip Code:16863-8201
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:495 LITTLE CLEARFIELD CREEK RD
Practice Address - Street 2:
Practice Address - City:OLANTA
Practice Address - State:PA
Practice Address - Zip Code:16863-8201
Practice Address - Country:US
Practice Address - Phone:814-574-5601
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-04-08
Last Update Date:2024-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175M00000XOther Service ProvidersMidwife, Lay