Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
SHANNA M GANNON, PA-C
ActiveSHANNA M GANNON, PA-C is a Surgical Physician Assistant healthcare provider located in HAMDEN, Connecticut. NPI 1639403892 is currently active in the NPPES registry. Verify at CMS.
Surgical Physician Assistant · HAMDEN, CT
Registration Details
- NPI Number
- 1639403892
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Sep 21, 2009 (16.886177376182 yrs)
- Last Updated
- Feb 14, 2022
- License
-
2318 (CT)
Practice Information
- Address
-
2200 WHITNEY AVE STE 270HAMDEN, CT, 065183694Browse CT providers · Browse ZIP 06518
- Phone
- 2032817000
- Primary Specialty
-
Surgical Physician Assistant
363AS0400X
Other Surgical Physician Assistant Providers in HAMDEN, CT
| Name | Credential | NPI |
|---|---|---|
| MR. EVANS KENNARD SIMMONS | PA-C | 1528132628 |
| CHRIS J DALL | PA-C | 1184855017 |
| MR. RANDALL LEE OWEN | PA-C | 1437591971 |
| ALAINA PETRACCA | PA-C | 1245606474 |
| DANIELLE LONI PETIT | PA-C | 1568918704 |
| CASEY J FUSCO | — | 1073000493 |
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.