Provider Demographics
NPI:1093421273
Name:AMASON, SHANA LYNN (CNM)
Entity Type:Individual
Prefix:MRS
First Name:SHANA
Middle Name:LYNN
Last Name:AMASON
Suffix:
Gender:F
Credentials:CNM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:205 HANCOCK AVE
Mailing Address - Street 2:
Mailing Address - City:SEASIDE HEIGHTS
Mailing Address - State:NJ
Mailing Address - Zip Code:08751-2026
Mailing Address - Country:US
Mailing Address - Phone:251-656-9244
Mailing Address - Fax:
Practice Address - Street 1:1382 LANES MILL RD
Practice Address - Street 2:
Practice Address - City:LAKEWOOD
Practice Address - State:NJ
Practice Address - Zip Code:08701-3892
Practice Address - Country:US
Practice Address - Phone:732-994-4242
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-01-30
Last Update Date:2023-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25ME00082001367A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife