MRS. Shanna Michele Autrey, PA-C

NPI #1164405791 in Princeton, West Virginia

Provider Information

NPI Number: 1164405791
Entity Type: Individual
Name: MRS. Shanna Michele Autrey, PA-C
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA-C
Enumeration Date: Nov 29, 2005
Last Updated: May 4, 2012

Practice Location

Address: 160 UNDERCLIFF TER
City: Princeton
State: West Virginia
ZIP Code: 24740-2174
Phone: (304) 431-3010

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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