Holly Nicole Shinnen in Bristow - Physician Assistant
Holly Nicole Shinnen - NPI 1891991576
Holly Nicole Shinnen is a Physician Assistant in Bristow, Oklahoma. Holly Nicole Shinnen practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Holly Nicole Shinnen is 1891991576. The last update date is 2023-11-13.
Holly Nicole Shinnen's current location address is 519 N Main St Ste 102, Bristow, Oklahoma. You can contact this provider via phone number 9183676611 and fax number 9183679915. The mailing address for Holly Nicole Shinnen is 519 N Main St Ste 102, Bristow, Oklahoma. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Holly Nicole Shinnen |
|---|---|
| Address | 519 N Main St Ste 102, Bristow, Oklahoma |
| Phone Number | 9183676611 |
| Fax Number | 9183679915 |
| Sole Proprietor | N |
| Credentials | P.A. |
NPI Number Detail
| NPI Number | 1891991576 |
|---|---|
| Provider Enumeration Date | 2007-06-21 |
| Last Updated Date | 2023-11-13 |
Provider Mailing Address Detail
| Address | 519 N Main St Ste 102 |
|---|---|
| City | Bristow |
| State | Oklahoma (OK) |
| Post Code | 740102016 |
| Phone Number | 9183676611 |
| Fax Number | 9183679915 |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | 1517 |
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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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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 200225650A | OK | -- | |
| P01099343 | OK | MEDICARE RAILROAD |
Post Comment/ Review Below
What is the Holly Nicole Shinnen's unique identification number?
The Holly Nicole Shinnen has been assigned the NPI (National Provider Identifier) Number 1891991576 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 Holly Nicole Shinnen is physically located?
The Holly Nicole Shinnen is situated at the following address: 519 N Main St Ste 102, Bristow, OK 740102016.
What is Holly Nicole Shinnen's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Holly Nicole Shinnen is Physician Assistant, and the taxonomy classification code that categorizes this area of expertise is 363A00000X.
On what date did the Holly Nicole Shinnen receive the assignment of its 1891991576 from the Centers for Medicare & Medicaid Services?
The Holly Nicole Shinnen was issued its 1891991576 by the Centers for Medicare & Medicaid Services on 2007-06-21.
As of what date were the Holly Nicole Shinnen's details last updated?
The information pertaining to the Holly Nicole Shinnen, including its address, specialty, and other details, was most recently updated on 2023-11-13.
NPI Number: 1528061710
Address: 19 Nh Route 104, Meredith, NH