Provider Demographics
NPI:1205521549
Name:BITTINGER, SHAWNIE NIKOLE (MPH, MMS, PA-C)
Entity type:Individual
Prefix:
First Name:SHAWNIE
Middle Name:NIKOLE
Last Name:BITTINGER
Suffix:
Gender:F
Credentials:MPH, MMS, PA-C
Other - Prefix:
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Other - Middle Name:
Other - Last Name:
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Mailing Address - Street 1:131 PLAZA DR
Mailing Address - Street 2:
Mailing Address - City:KEYSER
Mailing Address - State:WV
Mailing Address - Zip Code:26726-6015
Mailing Address - Country:US
Mailing Address - Phone:304-597-3706
Mailing Address - Fax:
Practice Address - Street 1:131 PLAZA DR
Practice Address - Street 2:
Practice Address - City:KEYSER
Practice Address - State:WV
Practice Address - Zip Code:26726-6015
Practice Address - Country:US
Practice Address - Phone:304-597-3706
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-04-11
Last Update Date:2024-10-28
Deactivation Date:
Deactivation Code:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant