Provider Demographics
NPI:1366542367
Name:HAND, SHAUNA R (PA-C)
Entity type:Individual
Prefix:
First Name:SHAUNA
Middle Name:R
Last Name:HAND
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:SHAUNA
Other - Middle Name:
Other - Last Name:SILICH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2580 HAYMAKER RD STE 304
Mailing Address - Street 2:
Mailing Address - City:MONROEVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:15146-3500
Mailing Address - Country:US
Mailing Address - Phone:412-858-3070
Mailing Address - Fax:412-858-3076
Practice Address - Street 1:2580 HAYMAKER RD STE 304
Practice Address - Street 2:
Practice Address - City:MONROEVILLE
Practice Address - State:PA
Practice Address - Zip Code:15146-3500
Practice Address - Country:US
Practice Address - Phone:412-858-3070
Practice Address - Fax:412-858-3076
Is Sole Proprietor?:No
Enumeration Date:2006-09-22
Last Update Date:2020-10-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMA052633363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA103206119Medicaid
PA103206119Medicaid
PAQ72744Medicare UPIN