According to our database, the NPI number for Shannon Blake PA is 1578509238 and activated since 17 years ago. Shannon Blake PA is an individual provider who specializes in Physician Assistant, and the primary practice location is 631 Quaker Ln S, West Hartford, CT 06110. You can also contact Shannon Blake PA via telephone number is (860) 233-5133. Provider NPI information was last updated on 07/28/2011.

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Overview of Shannon Blake PA

  • NPI number: 1598434045
  • Provider type: Individual
  • Gender: Female
  • Active since: 06/21/2006
  • Last updated: 07/28/2011

Primary Scrop of Practice

  • Taxonomy Code: 363A00000X
  • Specialty: Physician Assistant
  • License Number: 001550
  • License State: CT

Provider Mailing Address

  • Address: 229 Henry St
    Manchester, CT 06042
  • Phone: 860-371-5335
  • Fax:

Provider Practice Location

  • Address: 631 Quaker Ln S
    West Hartford, CT 06110
  • Phone: 860-233-5133
  • Fax: 860-232-6527

Scope of Practice

  • Taxonomy Code: 363A00000X
  • Specialty: Physician Assistant
  • License Number: 001550
  • License State: CT
  • Switch: Yes

Question & Answers

  • Q: What is the npi number?
  • A: An NPI is a 10-digit numeric identifier. It does not carry information about you, such as the State where you practice, your provider type, or your specialization. Your NPI will not change, even if your name, address, taxonomy, or other information changes.
  • Q: What are health care provider taxonomy codes?
  • A: The Health Care Provider (HCP) Taxonomy Codes Codes define a health care service provider type, classification, and area of specialization.
  • Q: What is the npi number for Shannon Blake PA?
  • A: The npi number for Shannon Blake PA is 1578509238.
  • Q: What are Shannon Blake PA's specialties?
  • A: Shannon Blake PA's specialties are Physician Assistant and different specialities.
  • Q: What is the medical license for Shannon Blake PA?
  • A: The medical license number for Shannon Blake PA is 001550 and issued in CT in USA.
  • Q: Where is Shannon Blake PA practice location?
  • A: Shannon Blake PA is practicing at 631 Quaker Ln S, West Hartford, CT 06110.
  • Q: How to contact Shannon Blake PA?
  • A: You can contact Shannon Blake PA via 860-233-5133.