Ives, Shannon

Ives, Shannon is an individual health care provider with primary practice located at 228 Independence Rd , East Stroudsburg PA 18301-9435. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Obstetrics & Gynecology, which is considered as her primary health care specialty. Ives, Shannon can be contacted via phone (570) 426-2830.

Contact Information

Primary practice address
228 Independence Rd East Stroudsburg PA 18301-9435
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Obstetrics & Gynecology 363LX0001X SP018102 Pennsylvania

Profile Details

NPI number 1063919611
LBN Legal business name Ives, Shannon
Credentials CRNP
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 10th, 2018
Last updated Nov 12th, 2018 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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