Shannon Lee Ruth Dieffenderfer - Anchorage, AK

Shannon Lee Ruth Dieffenderfer

Physician Assistant in Anchorage, Alaska

NPI 1861048530

Shannon Lee Ruth Dieffenderfer is a Physician Assistant based in Anchorage, AK. Shannon Lee Ruth Dieffenderfer practices in Anchorage, AK. The NPI Number for Shannon Lee Ruth Dieffenderfer is 1861048530 and holds a License No. 10117 (Alaska).

The current practice location address for Shannon Lee Ruth Dieffenderfer is 4100 Lake Otis Pkwy Ste 108, Anchorage, AK and can be reached out via phone at 907-563-3145 and via fax at 907-561-3967.

Location: 4100 Lake Otis Pkwy Ste 108, Anchorage, AK, 99508-5230

NPI Number

1861048530

Provider Name

Shannon Lee Ruth Dieffenderfer

Credential

Provider Entity Type

Individual

Gender

Female

Address

4100 Lake Otis Pkwy Ste 108, Anchorage, AK, 99508-5230

Phone Number

907-563-3145

Fax Number

907-561-3967

Provider Enumeration Date

08/17/2019

Last Update Date

03/10/2024

Address

4100 Lake Otis Pkwy Ste 108

City

Anchorage

State

Alaska

Zip

99508-5230

Phone Number

907-563-3145

Fax Number

907-561-3967

Address

4100 Lake Otis Pkwy Ste 108

City

Anchorage

State

Alaska

Zip

99508-5230

Phone Number

907-563-3145

Fax Number

907-561-3967

Type

Physician Assistants & Advanced Practice Nursing Providers

Classification

Physician Assistant

Speciality

Taxonomy

363A00000X

License No.

(Georgia)

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.

Type

Student, Health Care

Classification

Student in an Organized Health Care Education/Training Program

Speciality

Taxonomy

390200000X

License No.

10117 (Georgia)

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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