Individual provider · Type 1 NPI

Stephanie Lynne Shah

Medical Physician Assistant · Gig Harbor, WA

NPI number 1639666118 Active

Practice location

11511 Canterwood Blvd Ste 205
Gig Harbor, WA 98332-5818

Fax (253) 985-2948

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant 363A00000XNone listed
Medical Physician Assistant Primary 363AM0700XPA.PA.60870327 (WA)

Medical Physician Assistant: Definition to come...

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About NPI 1639666118

Stephanie Lynne Shah's National Provider Identifier is 1639666118, issued on Apr 19, 2018. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Gig Harbor, WA. The record was last updated on Sep 21, 2026.