Shively, Winona T

Shively, Winona T is an individual health care provider with primary practice located at 3321 Chestnut St , Whitehall PA 18052-7411. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Shively, Winona T can be contacted via phone (610) 262-7123.

Contact Information

Primary practice address
3321 Chestnut St Whitehall PA 18052-7411
Phone: (610) 262-7123
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X SP023250 Pennsylvania
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X SP023250 Pennsylvania

Profile Details

NPI number 1235722927
LBN Legal business name Shively, Winona T
Credentials CRNP
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 15th, 2021
Last updated Feb 26th, 2021 - about 3 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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