Provider Demographics
NPI:1871108373
Name:MORANT, SHAWNA BUSSEY (MSW, BIRTH DOULA)
Entity type:Individual
Prefix:
First Name:SHAWNA
Middle Name:BUSSEY
Last Name:MORANT
Suffix:
Gender:F
Credentials:MSW, BIRTH DOULA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8032 MCGARRY TRL
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28214-7649
Mailing Address - Country:US
Mailing Address - Phone:803-448-2100
Mailing Address - Fax:
Practice Address - Street 1:8032 MCGARRY TRL
Practice Address - Street 2:
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28214-7649
Practice Address - Country:US
Practice Address - Phone:980-224-0435
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-09-11
Last Update Date:2020-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes374J00000XNursing Service Related ProvidersDoulaGroup - Multi-Specialty