Provider Demographics
NPI:1306288725
Name:SHAHEED, NICOLE (CD(DONA))
Entity type:Individual
Prefix:MRS
First Name:NICOLE
Middle Name:
Last Name:SHAHEED
Suffix:
Gender:F
Credentials:CD(DONA)
Other - Prefix:MRS
Other - First Name:NIKKI
Other - Middle Name:
Other - Last Name:SHAHEED
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:CD(DONA)
Mailing Address - Street 1:2111 MOBEETIE TRL
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78245-2365
Mailing Address - Country:US
Mailing Address - Phone:210-800-2070
Mailing Address - Fax:
Practice Address - Street 1:2111 MOBEETIE TRL
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78245-2365
Practice Address - Country:US
Practice Address - Phone:210-800-2070
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-07-26
Last Update Date:2013-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula