person
Shanna U White, PA-C
Medical Physician Assistant in Odgensburg, New York
NPI 1902060387

Shanna U White is a Medical Physician Assistant based in Odgensburg, NY and is specialized in Medical. Shanna U White practices in Odgensburg, NY and has the professional credentials of PA-C. The NPI Number for Shanna U White is 1902060387 and holds a License No. 015600 (New York).

The current practice location address for Shanna U White is 100 Horwood Place, Odgensburg, NY and can be reached out via phone at 315-394-9462 and via fax at 315-713-5291.

Location: 100 Horwood Place, Odgensburg, NY, 13669
person
Provider Profile Details
NPI Number
1902060387
Provider Name
Shanna U White
Credential
PA-C
Provider Entity Type
Individual
Gender
Female
Address
100 Horwood Place, Odgensburg, NY, 13669
Phone Number
315-394-9462
Fax Number
315-713-5291
Provider Enumeration Date
07/15/2008
Last Update Date
02/15/2025
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Provider's Legacy Identifiers
Identifier Type State Issuer
03770858 05 NY
institution
Provider Business Practice Location Address Details
Address
100 Horwood Place
City
State
Zip
13669
Phone Number
315-394-9462
Fax Number
315-713-5291
person
Provider Business Mailing Address Details
Address
100 Horwood Place
City
State
Zip
13669
Phone Number
315-394-9462
Fax Number
315-713-5291
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
015600 (New York)
Definition
Definition to come...
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