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

MRS. SHANNON FRESHWATER LONG, PA-C

Active Sole Proprietor

MRS. 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 DR
FE WARREN AFB, WY, 820052945
Browse 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.