Provider Demographics
NPI:1538695267
Name:ALBANESO, SHAWNA LEE
Entity Type:Individual
Prefix:
First Name:SHAWNA
Middle Name:LEE
Last Name:ALBANESO
Suffix:
Gender:F
Credentials:
Other - Prefix:MRS
Other - First Name:SHAWNA
Other - Middle Name:LEE
Other - Last Name:ALBANESO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1799 1/2 CHESTER AVE
Mailing Address - Street 2:
Mailing Address - City:WELLSVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:43968-1123
Mailing Address - Country:US
Mailing Address - Phone:330-383-8993
Mailing Address - Fax:
Practice Address - Street 1:740 N 6TH AVE
Practice Address - Street 2:
Practice Address - City:STEUBENVILLE
Practice Address - State:OH
Practice Address - Zip Code:43952-1844
Practice Address - Country:US
Practice Address - Phone:740-996-7069
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-05-01
Last Update Date:2017-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator