| Provider / Organization | NPI | Date Certified |
|---|---|---|
| AMANDA SHINALL | 1376142737 | 2020-10-18 |
Amanda Shinall is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1376142737. Registration indicates Amanda Shinall is a provider of access to adult/geriatric primary care providers services with a specialization in Physician Assistants & Advanced Practice Nursing Providers, Physician Assistant Access to Pediatric Primary Care Providers (Physician Assistants & Advanced Practice Nursing Providers, Physician Assistant) (Physician Assistant, ) (Physician Assistants & Advanced Practice Nursing Providers, Physician Assistant) (All Other Specialties & Provider Types, ) (Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers)
| Entity Type | Individual |
| Provider Name | Ms. Amanda Shinall PA |
| Practice Office Address | 28 OLD FULTON ST APT 4B BROOKLYN, NY US |
| Practice Office Telephone | 9175384588 |
| Mailing Address | 28 OLD FULTON ST APT 4B BROOKLYN, NY 112016909 US |
| Business Telephone | 9175384588 |
| home [] | Brooklyn | Direct |
| Code | Practice | License No State |
|---|---|---|
| 363A00000X PRIMARY | Access to Adult/Geriatric Primary Care Providers Physician Assistants & Advanced Practice Nursing Providers Physician AssistantAccess to Pediatric Primary Care Providers Physician Assistants & Advanced Practice Nursing Providers Physician Assistant Physician Assistant Physician Assistants & Advanced Practice Nursing Providers Physician Assistant All Other Specialties & Provider Types Physician Assistant Physician Assistants & Advanced Practice Nursing Providers | 010483
NY |