Provider Demographics
NPI:1881487064
Name:SPENCER, SHANNA (DOULA)
Entity type:Individual
Prefix:
First Name:SHANNA
Middle Name:
Last Name:SPENCER
Suffix:
Gender:F
Credentials:DOULA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5116 KEINERS LN
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15205-9605
Mailing Address - Country:US
Mailing Address - Phone:412-979-9597
Mailing Address - Fax:
Practice Address - Street 1:5116 KEINERS LN
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15205-9605
Practice Address - Country:US
Practice Address - Phone:412-979-9597
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-05-28
Last Update Date:2025-05-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula