Provider Demographics
NPI:1134401482
Name:STEFFAN, SHAWNA DEANNE (PA-C)
Entity type:Individual
Prefix:
First Name:SHAWNA
Middle Name:DEANNE
Last Name:STEFFAN
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:SHAWNA
Other - Middle Name:DEANNE
Other - Last Name:MEAD
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PA-C
Mailing Address - Street 1:2 W CRESCENT PARK
Mailing Address - Street 2:CREDENTIALS OFFICE
Mailing Address - City:WARREN
Mailing Address - State:PA
Mailing Address - Zip Code:16365-2111
Mailing Address - Country:US
Mailing Address - Phone:814-723-4973
Mailing Address - Fax:814-726-9416
Practice Address - Street 1:2 W CRESCENT PARK FL 3
Practice Address - Street 2:
Practice Address - City:WARREN
Practice Address - State:PA
Practice Address - Zip Code:16365-2111
Practice Address - Country:US
Practice Address - Phone:814-726-0273
Practice Address - Fax:814-726-9416
Is Sole Proprietor?:No
Enumeration Date:2011-09-13
Last Update Date:2024-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOA003320363A00000X
PAMA052582363AM0700X
TXPA16841363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
No363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical