Individual provider · Type 1 NPI

Shannen Marie Seversen, PA-C

Surgical Physician Assistant · Lake Worth, FL

NPI number 1457895161 Active

Practice location

3618 Lantana Road, Suite 200
Lake Worth, FL 33462-2247

Call (561) 968-2995 Map

Fax (561) 968-0203

Mailing address

3424 Diane Dr
Boynton Beach, FL 33435-8554

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400XPA2306 (FL)

Surgical Physician Assistant: Definition to come...

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About NPI 1457895161

Shannen Marie Seversen, PA-C's National Provider Identifier is 1457895161, issued on Dec 14, 2016. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Lake Worth, FL. The record was last updated on Dec 18, 2025.