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Shannon Blanford, STUDENT
Medical Physician Assistant in Utica, New York
NPI 1194379248

Shannon Blanford is a Medical Physician Assistant based in Fayetteville, NY and is specialized in Medical. Shannon Blanford practices in Utica, NY and has the professional credentials of STUDENT. The NPI Number for Shannon Blanford is 1194379248 and holds a License No. 024233 (New York).

The current practice location address for Shannon Blanford is 2209 Genesee St, Utica, NY and can be reached out via phone at 315-801-8100. You can also correspond with Shannon Blanford through the mailing address at 320 HUNT DR, FAYETTEVILLE, NY - 13066-1228 (mailing address contact number: 315-412-1117).

Location: 2209 Genesee St, Utica, NY, 13066-1228
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1194379248
Provider Name
Shannon Blanford
Credential
STUDENT
Provider Entity Type
Individual
Gender
Female
Address
2209 Genesee St, Utica, NY, 13066-1228
Phone Number
315-801-8100
Fax Number
Provider Enumeration Date
07/27/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
2209 Genesee St
City
Utica
State
New York
Zip
13501-5930
Phone Number
315-801-8100
Fax Number
person
Provider Business Mailing Address Details
Address
2209 Genesee St
City
Utica
State
New York
Zip
13501-5930
Phone Number
315-801-8100
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
-
Taxonomy
363A00000X
License No.
024233 (New York)
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
363AM0700X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
024233 (New York)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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