Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MRS. SHANNAN LEE CARMOUCHE, PA
Active Sole ProprietorMRS. SHANNAN LEE CARMOUCHE, PA is a Physician Assistant healthcare provider located in OKLAHOMA CITY, Oklahoma. NPI 1770560161 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · OKLAHOMA CITY, OK
Registration Details
- NPI Number
- 1770560161
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Dec 27, 2005 (20.615342347548 yrs)
- Last Updated
- Feb 3, 2016
- Licenses
-
1162 (OK)1162 (OK)1162 (OK)1162 (OK)
- Sole Proprietor
- Yes
Practice Information
- Address
-
9800 BROADWAY EXTENSIONSUITE 203OKLAHOMA CITY, OK, 73114Browse OK providers · Browse ZIP 73114
- Phone
- 4054195412
- Fax
- 4054195468
- Primary Specialty
-
Physician Assistant
363A00000X
- Additional Specialty
- Vascular Surgery
- Additional Specialty
- Physician Assistant
- Additional Specialty
- Medical Physician Assistant
Other Physician Assistant Providers in OKLAHOMA CITY, OK
| Name | Credential | NPI |
|---|---|---|
| SUSAN D WORSHAM | PA | 1245233113 |
| MR. ROGER D HELLWEGE | PA-C | 1295738110 |
| MICHAEL A THAYER | PA | 1558364422 |
| JEFFREY D MARTENS | PA | 1659374049 |
| GREGORY W DINWIDDIE | PAC | 1578567848 |
| KENDALL LEIGH PHILLIPS | PA | 1306840327 |
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.