Provider Demographics
NPI:1316244031
Name:SHUMWAY, BRENDA KAY (CD(DONA) LCCE)
Entity type:Individual
Prefix:MS
First Name:BRENDA
Middle Name:KAY
Last Name:SHUMWAY
Suffix:
Gender:F
Credentials:CD(DONA) LCCE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7150 E GRAND AVE
Mailing Address - Street 2:907
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75223-1000
Mailing Address - Country:US
Mailing Address - Phone:817-673-6852
Mailing Address - Fax:
Practice Address - Street 1:7150 E GRAND AVE
Practice Address - Street 2:907
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75223-1000
Practice Address - Country:US
Practice Address - Phone:817-673-6852
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-02-15
Last Update Date:2011-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula