IndividualActive
Mildred Shields
NPI 1790931004 · Contractor · Raytown, MO
Provider details
- NPI number
- 1790931004
- Entity type
- Individual
- Primary specialty
- ContractorOther Service Providers
- Sex
- Female
- Sole proprietor
- Yes
Specialties & taxonomies
Other Service Providers
Practice location
9712 E 84th St
Raytown, MO 64138-3395
Phone: (816) 739-9852
Approximate (ZIP-level) locationGet directions
Mailing address
9712 E 84th St
Raytown, MO 64138-3395
Registry dates
- Enumerated
- 2008-08-18
- Last updated
- 2008-08-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.