Individual provider · Type 1 NPI

Shannon Elizabeth Yearwood

Medical Physician Assistant · West Coxsackie, NY

NPI number 1831821982 Active

Practice location

11835 Rt 9W
West Coxsackie, NY 12192-3605

Mailing address

24 Smith St Apt Suite
Red Hook, NY 12571-1616

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700XNone listed

Medical Physician Assistant: Definition to come...

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About NPI 1831821982

Shannon Elizabeth Yearwood's National Provider Identifier is 1831821982, issued on Jun 28, 2022. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in West Coxsackie, NY. The record was last updated on Jun 28, 2022.