Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
SHAUNA MARISSA PANKRATZ
ActiveSHAUNA MARISSA PANKRATZ is a Physician Assistant healthcare provider located in SPRING LAKE PARK, Minnesota. NPI 1528353711 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · SPRING LAKE PARK, MN
Registration Details
- NPI Number
- 1528353711
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jun 15, 2011 (15.139254588933 yrs)
- Last Updated
- Jun 15, 2011
Practice Information
- Address
-
8232 HIGHWAY 65 NESPRING LAKE PARK, MN, 554322095Browse MN providers · Browse ZIP 55432
- Phone
- 7635771877
- Fax
- 7635771887
- Primary Specialty
-
Physician Assistant
363A00000X
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.