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

MS. SAMANTHA LIZ SHANNON, PA-C

Active

MS. SAMANTHA LIZ SHANNON, PA-C is a Physician Assistant healthcare provider located in ALBUQUERQUE, New Mexico. NPI 1326133588 is currently active in the NPPES registry. Verify at CMS.

Physician Assistant · ALBUQUERQUE, NM

Registration Details

NPI Number
1326133588
Provider Type
Individual
Gender
Female
NPI Issued
Oct 4, 2006 (19.858281002552 yrs)
Last Updated
Jul 14, 2015
Licenses
PA2005-0014 (NM)
PA2005-0014 (NM)

Practice Information

Address
7850 JEFFERSON ST NE
SUITE 300
ALBUQUERQUE, NM, 871094315
Browse NM providers · Browse ZIP 87109
Phone
5058841114
Fax
5058566320
Primary Specialty
Physician Assistant
363A00000X
Additional Specialty
Physician Assistant

Other Physician Assistant Providers in ALBUQUERQUE, NM

Name Credential NPI
MIKAL ANN SMOKER PA-C 1164425260
MS. MARCIA STARNS PAC 1841291531
DALLAS R SHECKLER PA 1871586586
SHARI E FREYER PA C 1134113723
MICHAEL D BRENNAND PA-C 1013905140
MR. PETER DAVID PACHECO RPH., PA-C 1760471395
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.