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Shane Bannon
Acute Care Nurse Practitioner in Philadelphia, Pennsylvania
NPI 1245997220

Shane Bannon is an Acute Care Nurse Practitioner based in Lafayette Hill, PA and is specialized in Acute Care. Shane Bannon practices in Philadelphia, PA. The NPI Number for Shane Bannon is 1245997220 and holds a License No. SP024901 (Pennsylvania).

The current practice location address for Shane Bannon is 1 Convention Ave, Philadelphia, PA and can be reached out via phone at 800-789-7366.

Location: 1 Convention Ave, Philadelphia, PA, 19444-2103
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Provider Profile Details
NPI Number
1245997220
Provider Name
Shane Bannon
Credential
Provider Entity Type
Individual
Gender
Male
Address
1 Convention Ave, Philadelphia, PA, 19444-2103
Phone Number
800-789-7366
Fax Number
Provider Enumeration Date
11/24/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1 Convention Ave
City
State
Zip
19104-4311
Phone Number
800-789-7366
Fax Number
person
Provider Business Mailing Address Details
Address
1 Convention Ave
City
State
Zip
19104-4311
Phone Number
800-789-7366
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Acute Care
Taxonomy
License No.
SP024901 (Pennsylvania)
Definition
Definition to come...
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