Shannon Doyle Tiedeken

MD | Pediatrics | Female

Shannon Doyle Tiedeken, MD is a Glen Mills, Pennsylvania based Pediatric doctor with medical specialization in General Pediatrics. Current practice location of Shannon Doyle Tiedeken is 101 Applied Bank Blvd Ste 11, Nemours Dupont Pediatrics, Glen Mills Urgent Care, Glen Mills, Pennsylvania - 19342-3501. She can be contacted on phone at 484-800-8630. Shannon Doyle Tiedeken is a sole proprietor of her business.
NPI number (Unique professional ID) for Shannon Doyle Tiedeken is 1225395999 which was assigned by NPPES on 18 Apr, 2012 and it was last updated on 17 Mar, 2017. Shannon Doyle Tiedeken license number is MD454113 for Pediatrics (208000000X) in Pennsylvania.
Shannon Doyle Tiedeken is a pediatrician who is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Complete Profile:
Shannon Doyle Tiedeken basic information including her official name, gender, specialization, credentials etc. are as mentioned below.
Specialization :Pediatrics
Provider Name :Shannon Doyle Tiedeken
Credential :MD
Gender :Female
Sole Proprietor : Yes
Business Address:
Shannon Doyle Tiedeken address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
Primary Address :101 Applied Bank Blvd Ste 11, Nemours Dupont Pediatrics, Glen Mills Urgent Care
Glen Mills, PA, 19342-3501
United States
Phone Number :484-800-8630
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
NPI Number : 1225395999
NPI Entity Type : Individual
First Enrolment Date : 18 Apr, 2012
Last Updated On : 17 Mar, 2017
Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Shannon Doyle Tiedeken are as mentioned. Primary taxonomy code for Shannon Doyle Tiedeken, MD is 208000000X (Pediatrics).
Taxonomy Code SpecialityPrimaryLicense No.State
208000000XPediatricsYesMD454113PA
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
Mailing Address :Po Box 191, Provider Enrollment Department
Rockland, DE, 19732-0191
United States
Phone Number :302-651-6212
Fax Number :302-651-4945
Business Location:
Patients can refer following map for directions to Shannon Doyle Tiedeken practice address. Don't forget to take prior appointment before visiting.

** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.