Shannon Tracey Gagliardi in Exton - Physician Assistant
Shannon Tracey Gagliardi - NPI 1023161742
Shannon Tracey Gagliardi is a Physician Assistant in Exton, Pennsylvania. Shannon Tracey Gagliardi practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Shannon Tracey Gagliardi is 1023161742. The last update date is 2019-10-15.
Shannon Tracey Gagliardi's current location address is 412 Creamery Way Ste 400, Exton, Pennsylvania. You can contact this provider via phone number 6105947590 and fax number 6105942625. The mailing address for Shannon Tracey Gagliardi is 412 Creamery Way Ste 400, Exton, Pennsylvania. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Shannon Tracey Gagliardi |
|---|---|
| Address | 412 Creamery Way Ste 400, Exton, Pennsylvania |
| Phone Number | 6105947590 |
| Fax Number | 6105942625 |
| Sole Proprietor | N |
| Credentials | PA-C |
NPI Number Detail
| NPI Number | 1023161742 |
|---|---|
| Provider Enumeration Date | 2007-01-18 |
| Last Updated Date | 2019-10-15 |
Provider Mailing Address Detail
| Address | 412 Creamery Way Ste 400 |
|---|---|
| City | Exton |
| State | Pennsylvania (PA) |
| Post Code | 193412551 |
| Phone Number | 6105947590 |
| Fax Number | 6105942625 |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | AMD-291 |
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Definition: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor |
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Post Comment/ Review Below
What is the Shannon Tracey Gagliardi's unique identification number?
The Shannon Tracey Gagliardi has been assigned the NPI (National Provider Identifier) Number 1023161742 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you provide the complete address where Shannon Tracey Gagliardi is physically located?
The Shannon Tracey Gagliardi is situated at the following address: 412 Creamery Way Ste 400, Exton, PA 193412551.
What is the area of specialization for Shannon Tracey Gagliardi, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Shannon Tracey Gagliardi is Physician Assistant, and the corresponding taxonomy code that categorizes this area of expertise is 363A00000X.
On what date did the Shannon Tracey Gagliardi receive the assignment of its 1023161742 from the Centers for Medicare & Medicaid Services?
The Shannon Tracey Gagliardi was issued its 1023161742 by the Centers for Medicare & Medicaid Services on 2007-01-18.
As of what date were the details related to Shannon Tracey Gagliardi most recently updated or revised?
The information pertaining to Shannon Tracey Gagliardi, including its address, specialty, and other relevant details, was last updated or revised on 2019-10-15.