Provider Demographics
NPI:1588116636
Name:LIPCHINSKY, SHAINA LEIGH (CRNP)
Entity type:Individual
Prefix:MRS
First Name:SHAINA
Middle Name:LEIGH
Last Name:LIPCHINSKY
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:
Other - First Name:SHAINA
Other - Middle Name:LEIGH
Other - Last Name:HAWTHORNE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1163 COUNTRY CLUB RD STE 101
Mailing Address - Street 2:
Mailing Address - City:MONONGAHELA
Mailing Address - State:PA
Mailing Address - Zip Code:15063-1013
Mailing Address - Country:US
Mailing Address - Phone:724-456-2536
Mailing Address - Fax:724-258-7641
Practice Address - Street 1:1163 COUNTRY CLUB RD STE 101
Practice Address - Street 2:
Practice Address - City:MONONGAHELA
Practice Address - State:PA
Practice Address - Zip Code:15063-1013
Practice Address - Country:US
Practice Address - Phone:724-258-2229
Practice Address - Fax:724-258-7641
Is Sole Proprietor?:No
Enumeration Date:2016-10-25
Last Update Date:2019-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASP016505363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily