Individual provider · Type 1 NPI

Shayna Fasanella

Surgical Physician Assistant · Palm Beach Gardens, FL

NPI number 1407349384 Active

Practice location

5540 Pga Blvd Ste 200
Palm Beach Gardens, FL 33418-3987

Call (561) 571-4000 Map

Fax (561) 491-2271

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant 363AM0700X5601008742 (MI)
Surgical Physician Assistant Primary 363AS0400XPA9112616 (FL)

Surgical Physician Assistant: Definition to come...

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About NPI 1407349384

Shayna Fasanella's National Provider Identifier is 1407349384, issued on Jun 14, 2018. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Palm Beach Gardens, FL. The record was last updated on Jan 28, 2020.