Healthcare Provider Details

I. General information

NPI: 1144198193
Provider Name (Legal Business Name): SHELBY CATHERINE HUFNAL PA-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/29/2025
Last Update Date: 10/29/2025
Certification Date: 10/29/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

255 W LANCASTER AVE
PAOLI PA
19301-1763
US

IV. Provider business mailing address

600 CHARLES ELLIS DR APT 414
NEWTOWN SQUARE PA
19073-1329
US

V. Phone/Fax

Practice location:
  • Phone: 484-565-1048
  • Fax: 484-565-2044
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: