Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
SHANE UDELHOVEN, PA-C
ActiveSHANE UDELHOVEN, PA-C is a Medical Physician Assistant healthcare provider located in SOLDOTNA, Alaska. NPI 1124355359 is currently active in the NPPES registry. Verify at CMS.
Medical Physician Assistant · SOLDOTNA, AK
Registration Details
- NPI Number
- 1124355359
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Nov 9, 2009 (16.782682946038 yrs)
- Last Updated
- Feb 18, 2020
- License
-
PADA893 (AK)
Practice Information
- Address
-
35670 KENAI SPUR HWY STE 103ASOLDOTNA, AK, 996697649Browse AK providers · Browse ZIP 99669
- Phone
- 9072601655
- Fax
- 9804958870
- Primary Specialty
-
Medical Physician Assistant
363AM0700X
- Additional Specialty
- Medical Physician Assistant
Other Medical Physician Assistant Providers in SOLDOTNA, AK
| Name | Credential | NPI |
|---|---|---|
| MR. DANIEL D NYITRAI | PA-C | 1962494781 |
| BRYAN LEE PHERSON | PA-C | 1619162799 |
| STACEY PAULT | PA-C | 1356621643 |
| DANNA MAVIS CONSTANCE MOISII | PA-C | 1003318585 |
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.