Provider Demographics
NPI:1134553175
Name:ALLOWAY, SHAWNA RENEE (PA-C)
Entity type:Individual
Prefix:
First Name:SHAWNA
Middle Name:RENEE
Last Name:ALLOWAY
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:SHAWNA
Other - Middle Name:RENEE
Other - Last Name:MINCKS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PA-C
Mailing Address - Street 1:600 18TH STREET
Mailing Address - Street 2:SUITE 204
Mailing Address - City:PARKERSBURG
Mailing Address - State:WV
Mailing Address - Zip Code:20101
Mailing Address - Country:US
Mailing Address - Phone:304-424-4844
Mailing Address - Fax:304-424-4928
Practice Address - Street 1:600 18TH STREET
Practice Address - Street 2:SUITE 204
Practice Address - City:PARKERSBURG
Practice Address - State:WV
Practice Address - Zip Code:20101
Practice Address - Country:US
Practice Address - Phone:304-424-4844
Practice Address - Fax:304-424-4928
Is Sole Proprietor?:No
Enumeration Date:2013-08-27
Last Update Date:2022-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WV363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical