Provider Demographics
NPI:1700825973
Name:HORNBY, SHAUNA L (MD)
Entity Type:Individual
Prefix:DR
First Name:SHAUNA
Middle Name:L
Last Name:HORNBY
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:SHAUNA
Other - Middle Name:L
Other - Last Name:SCHRECONGOST
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:600 ORONDO AVE
Mailing Address - Street 2:
Mailing Address - City:WENATCHEE
Mailing Address - State:WA
Mailing Address - Zip Code:98801-2800
Mailing Address - Country:US
Mailing Address - Phone:509-662-6000
Mailing Address - Fax:509-663-1421
Practice Address - Street 1:600 ORONDO AVE
Practice Address - Street 2:
Practice Address - City:WENATCHEE
Practice Address - State:WA
Practice Address - Zip Code:98801-2800
Practice Address - Country:US
Practice Address - Phone:509-662-6000
Practice Address - Fax:509-663-1421
Is Sole Proprietor?:No
Enumeration Date:2006-06-05
Last Update Date:2023-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA46415208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA8453953Medicaid