Healthcare Provider Details

I. General information

NPI: 1366542367
Provider Name (Legal Business Name): SHAUNA R HAND PA-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: SHAUNA SILICH

II. Dates (important events)

Enumeration Date: 09/22/2006
Last Update Date: 10/01/2020
Certification Date: 10/01/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2580 HAYMAKER RD STE 304
MONROEVILLE PA
15146-3500
US

IV. Provider business mailing address

2580 HAYMAKER RD STE 304
MONROEVILLE PA
15146-3500
US

V. Phone/Fax

Practice location:
  • Phone: 412-858-3070
  • Fax: 412-858-3076
Mailing address:
  • Phone: 412-858-3070
  • Fax: 412-858-3076

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License NumberMA052633
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: