Mcdermott, Shantai
Mcdermott, Shantai is an individual health care provider with primary practice located at 3523 Mountain View Dr , Anchorage AK 99508-1111. She recently has 3 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Adult Health, Physician Assistants & Advanced Practice Nursing Providers / Gerontology, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Adult Health is her primary health care specialty. Mcdermott, Shantai can be contacted via phone (907) 222-2621.Contact Information
Primary practice address
3523 Mountain View Dr
Anchorage AK 99508-1111
Phone: (907) 222-2621
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Adult Health | 363LA2200X | ARNP9338371 | Florida |
| Physician Assistants & Advanced Practice Nursing Providers / Gerontology | 363LG0600X | ARNP9338371 | Florida |
| Physician Assistants & Advanced Practice Nursing Providers / Gerontology | 363LG0600X | 198254 | Alaska |
| Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health | 363LP0808X | ARNP9338371 | Florida |
| Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health | 363LP0808X | 198254 | Alaska |
| Physician Assistants & Advanced Practice Nursing Providers / Adult Health | 363LA2200X | 198254 | Alaska |
Profile Details
| NPI number | 1093112898 |
|---|---|
| LBN Legal business name | Mcdermott, Shantai |
| Credentials | DNP |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 24th, 2014 |
| Last updated | Nov 2nd, 2023 - about last year |
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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1093112898 | NPPES |
| Alaska | MEDICAID | 1734585 |
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