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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

SHANON DIONE BENNETT, PA-C

Active

SHANON DIONE BENNETT, PA-C is a Physician Assistant healthcare provider located in WATERLOO, Iowa. NPI 1013979079 is currently active in the NPPES registry. Verify at CMS.

Physician Assistant · WATERLOO, IA

Registration Details

NPI Number
1013979079
Provider Type
Individual
Gender
Female
NPI Issued
Apr 5, 2006 (20.363757079277 yrs)
Last Updated
Jul 21, 2022
Licenses
001000136 (NC)
001016 (IA)

Practice Information

Address
1731 W RIDGEWAY AVE STE 100
WATERLOO, IA, 507014591
Browse IA providers · Browse ZIP 50701
Phone
3198335888
Fax
3198335891
Primary Specialty
Physician Assistant
363A00000X
Additional Specialty
Physician Assistant

Other Physician Assistant Providers in WATERLOO, IA

Name Credential NPI
HEIDI M BONTHUIS PA--C 1164421954
ROBERT M WELSHONS P.A.C. 1184611014
MICHELLE B NEPPLE PAC 1902893779
KAREN JANET FRANCZYK P.A. 1417932898
LINSEY S HIGH PAC 1659359461
SUSAN A BREDMAN PA-C 1437137692
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.