Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
SHANNON BLAKE, PA
ActiveSHANNON BLAKE, PA is a Physician Assistant healthcare provider located in WEST HARTFORD, Connecticut. NPI 1578509238 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · WEST HARTFORD, CT
Registration Details
- NPI Number
- 1578509238
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jun 21, 2006 (20.12440660423 yrs)
- Last Updated
- Jul 28, 2011
- License
-
001550 (CT)
Practice Information
- Address
-
631 QUAKER LN SWEST HARTFORD, CT, 061101026Browse CT providers · Browse ZIP 06110
- Phone
- 8602335133
- Fax
- 8602326527
- Primary Specialty
-
Physician Assistant
363A00000X
Other Physician Assistant Providers in WEST HARTFORD, CT
| Name | Credential | NPI |
|---|---|---|
| ERICA FALGER | — | 1033105572 |
| JOAN L RISHEL | PA-C | 1194823575 |
| MICHELLE L CAVO | PA | 1942362082 |
| VANESSA C PACHOLSKI | P.A.-C. | 1043435134 |
| MR. STEPHEN E LEE | PA | 1396942645 |
| MR. NICHOLAS JOSEPH ROSAGE | PA-C | 1326297458 |
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.