person
Shannon L Welner, PA-C
Medical Physician Assistant in Verona, New Jersey
NPI 1497966980

Shannon L Welner is a Medical Physician Assistant based in Verona, NJ and is specialized in Medical. Shannon L Welner practices in Verona, NJ and has the professional credentials of PA-C. The NPI Number for Shannon L Welner is 1497966980 and holds a License No. 25MP00146000 (New Jersey).

The current practice location address for Shannon L Welner is 60 Pompton Ave, Verona, NJ and can be reached out via phone at 973-571-2121 and via fax at 973-571-2126.

Location: 60 Pompton Ave, Verona, NJ, 07044-2946
person
Provider Profile Details
NPI Number
1497966980
Provider Name
Shannon L Welner
Credential
PA-C
Provider Entity Type
Individual
Gender
Female
Address
60 Pompton Ave, Verona, NJ, 07044-2946
Phone Number
973-571-2121
Fax Number
973-571-2126
Provider Enumeration Date
05/25/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1962428474 01 NJ GROUP NPI NUMBER
25MP00146000 01 NJ STATE LICENSE
institution
Provider Business Practice Location Address Details
Address
60 Pompton Ave
City
State
Zip
07044-2946
Phone Number
973-571-2121
Fax Number
973-571-2126
person
Provider Business Mailing Address Details
Address
60 Pompton Ave
City
State
Zip
07044-2946
Phone Number
973-571-2121
Fax Number
973-571-2126
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
25MP00146000 (New Jersey)
Definition
Definition to come...
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