| Mrs Shannon Freshwater Long, PA-C | |
|
6900 Alden Dr, Fe Warren Afb, WY 82005-2945 | |
| (307) 773-3435 | |
| Not Available |
| Full Name | Mrs Shannon Freshwater Long |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Location | 6900 Alden Dr, Fe Warren Afb, Wyoming |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588111090 | NPI | - | NPPES |
| 1588111090 | Other | NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | (* (Not Available)) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Shannon Freshwater Long, PA-C Unit 3215, Apo, AE 09094-3215 Ph: (314) 479-2049 | Mrs Shannon Freshwater Long, PA-C 6900 Alden Dr, Fe Warren Afb, WY 82005-2945 Ph: (307) 773-3435 |
Haley Isham Lawson, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 6900 Alden Dr Bldg 160, Fe Warren Afb, WY 82005 Phone: 920-573-2944 | |
Ms. Wendy Lisa Stevens, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 6900 Alden Dr, Fe Warren Afb, WY 82005 Phone: 307-773-2359 Fax: 307-773-6292 | |
Javier Urteaga Jr., Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 6900 Alden Dr Bldg 160, Fe Warren Afb, WY 82005 Phone: 951-212-7135 | |
Mr. Nathaniel Mason Beaty, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 6900 Alden Dr, Fe Warren Afb, WY 82005 Phone: 307-773-2847 | |
Mrs. Jessica Rae Davis, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 6900 Alden Dr Bldg 160, Fe Warren Afb, WY 82005 Phone: 307-773-3040 | |
Robert Wade Washburn, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 6900 Alden Dr, 90 Mdg, Fe Warren Afb, WY 82005 Phone: 307-773-3461 |