Individual provider · Type 1 NPI
Shanna M. Gannon, PA-C
Surgical Physician Assistant · Hamden, CT
NPI number
1639403892
Active
Practice location
2200 Whitney Ave Ste 270
Hamden, CT 06518-3694
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Surgical Physician Assistant Primary | 363AS0400X | 2318 (CT) |
Surgical Physician Assistant: Definition to come...
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About NPI 1639403892
Shanna M. Gannon, PA-C's National Provider Identifier is 1639403892, issued on Sep 21, 2009. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Hamden, CT. The record was last updated on Feb 14, 2022.