Mikita, Shannon Rae

Mikita, Shannon Rae is an individual health care provider with primary practice located at 11279 Perry Hwy Ste 204 , Wexford PA 15090-9303. She recently has only one registered license in Nursing Service Providers / Psychiatric/Mental Health, which is considered as her primary health care specialty. Mikita, Shannon Rae can be contacted via phone (724) 933-3910.

Contact Information

Primary practice address
11279 Perry Hwy Ste 204 Wexford PA 15090-9303
Phone: (724) 933-3910
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Psychiatric/Mental Health 163WP0808X RN609684 Pennsylvania

Profile Details

NPI number 1235788001
LBN Legal business name Mikita, Shannon Rae
Credentials RN-BC
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 5th, 2019
Last updated Sep 5th, 2019 - about 5 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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