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

SHANNON L HAFERTEPEN, PA-C

Active

SHANNON L HAFERTEPEN, PA-C is a Medical Physician Assistant healthcare provider located in FORT RILEY, Kansas. NPI 1598999476 is currently active in the NPPES registry. Verify at CMS.

Medical Physician Assistant · FORT RILEY, KS

Registration Details

NPI Number
1598999476
Provider Type
Individual
Gender
Female
NPI Issued
May 7, 2009 (17.244114078201 yrs)
Last Updated
May 7, 2009

Practice Information

Address
600 CAISSON HILL RD
FORT RILEY, KS, 664427037
Browse KS providers · Browse ZIP 66442
Phone
7852394411
Fax
7852397364
Primary Specialty
Medical Physician Assistant
363AM0700X

Other Medical Physician Assistant Providers in FORT RILEY, KS

Name Credential NPI
PAUL GERARD ROGERS PA-C, MPAS 1134199532
MICHAEL TRAUSCH PA 1972683837
DOUGLAS W AVILLA PA-C 1437230919
DAVID KEITH MARCOUX PA-C 1497977607
MR. ADAM RICHARD TODD PA-C 1457984189
AARON CRUZ 1265017032
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.