| Doctor Name: | MRS. SHANNON BOMBERGER |
| NPI Number: | 1063882660 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | CPM, RN |
| License Number: | R191354 |
| Business Practice Address: | 35 Sunset Dr Quarryville, PA - 175669242 |
| Business Phone Number: | 7173270099 |
| Business Fax Number: | |
| Mailing Address: | 35 Sunset Dr, QUARRYVILLE |
| State: | PA |
| Postal Code: | 175669242 |
| Phone Number: | 7173270099 |
| Fax Number: | |
| NPI Enumeration Date: | 09/25/2015 |
| NPI Last Update Date: | 09/25/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 207VX0000X |
| License Number: | R191354 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MD |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Obstetrics & Gynecology |
| Taxonomy Specialization: | Obstetrics |
| Taxonomy Definition: | |