SHANNON BLAKE, PA
Physician Assistant
Active
Individual
NPI: 1578509238
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Physician Assistant | 363A00000X | Yes | 001550 (CT) |
Frequently Asked Questions
NPI 1578509238 is the National Provider Identifier for SHANNON BLAKE, PA, a Physician Assistant provider located in West Hartford, CT. This NPI was enumerated on June 21, 2006.
SHANNON BLAKE, PA practices at 631 QUAKER LN S, West Hartford, CT 06110.
Quick Facts
- NPI
- 1578509238
- Type
- Individual
- Enumerated
- Jun 21, 2006
- Last Updated
- Jul 28, 2011
Nearby Providers
-
STUART LIFTIG, D.M.D.
Dentist - General Practice
-
DR. JEFFREY BROWN, M.D.
Family Medicine - Sports Medicine
-
KAREN CHEKAS
Counselor - Professional
-
MARIA VICTORIA RAMOS PSYD LLC
Community/Behavioral Health
-
WENDY LEVINBOOK, M.D.
Dermatology