Provider Demographics
NPI:1740675586
Name:DONAHUE, SHION (PA-C)
Entity type:Individual
Prefix:
First Name:SHION
Middle Name:
Last Name:DONAHUE
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:904 E SHORE DR
Mailing Address - Street 2:
Mailing Address - City:ITHACA
Mailing Address - State:NY
Mailing Address - Zip Code:14850-1026
Mailing Address - Country:US
Mailing Address - Phone:607-257-6563
Mailing Address - Fax:607-257-1420
Practice Address - Street 1:4545 E 9TH AVE
Practice Address - Street 2:SUITE 370
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80220-3901
Practice Address - Country:US
Practice Address - Phone:303-320-7340
Practice Address - Fax:303-320-7341
Is Sole Proprietor?:No
Enumeration Date:2015-03-30
Last Update Date:2024-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO0004148363AM0700X
NY031859363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical