Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MRS. SHANNON FRESHWATER LONG, PA-C
Active Sole ProprietorMRS. SHANNON FRESHWATER LONG, PA-C is a Physician Assistant healthcare provider located in FE WARREN AFB, Wyoming. NPI 1588111090 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · FE WARREN AFB, WY
Registration Details
- NPI Number
- 1588111090
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Sep 1, 2016 (9.9238546813015 yrs)
- Last Updated
- Oct 26, 2022
- Sole Proprietor
- Yes
Practice Information
- Address
-
6900 ALDEN DRFE WARREN AFB, WY, 820052945Browse WY providers · Browse ZIP 82005
- Phone
- 3077733435
- Primary Specialty
-
Physician Assistant
363A00000X
Other Physician Assistant Providers in FE WARREN AFB, WY
| Name | Credential | NPI |
|---|---|---|
| MR. NATHANIEL MASON BEATY | PA-C | 1255625406 |
| MRS. JESSICA RAE DAVIS | PA | 1861827990 |
| CRISTINA HOUGH | PA-C | 1679023584 |
| DUSTIN GILMORE GORSKI | — | 1427719061 |
| JAVIER URTEAGA JR. | — | 1194460089 |
| HALEY ISHAM LAWSON | PA-C | 1164136222 |
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.