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1861187171 NPI number — BRIANNA CHRISTINE SHAFFER-KUNES MD

NPI Number: 1861187171
Health Care Provider/Practitioner: BRIANNA CHRISTINE SHAFFER-KUNES MD

Information about “1861187171” NPI (BRIANNA CHRISTINE SHAFFER-KUNES MD) exists in 1861187171 in HTML format HTML  |  1861187171 in plain Text format TXT  |  1861187171 in PDF (Portable Document Format) PDF  |  1861187171 in an XML format XML  formats.

NPI Number : 1861187171 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1861187171",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "SHAFFER-KUNES",
    "FirstName": "BRIANNA",
    "MiddleName": "CHRISTINE",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "MD",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "KUNES",
    "OtherFirstName": "BRIANNA",
    "OtherMiddleName": "CHRISTINE",
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": "MD",
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "100 HOSPITAL AVE",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "DU BOIS",
    "MailingAddressStateName": "PA",
    "MailingAddressPostalCode": "15801-1440",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "814-375-4200",
    "MailingAddressFaxNumber": "814-375-4232",
    "FirstLinePracticeLocationAddress": "145 HOSPITAL AVE STE 315",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "DU BOIS",
    "PracticeLocationAddressStateName": "PA",
    "PracticeLocationAddressPostalCode": "15801-1465",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "814-503-4305",
    "PracticeLocationAddressFaxNumber": "814-503-4307",
    "EnumerationDate": "04/11/2023",
    "LastUpdateDate": "09/11/2025",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "F",
    "Gender": "Female",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "207Q00000X",
          "TaxonomyName": "Family Medicine Physician",
          "LicenseNumber": "MT228463",
          "LicenseNumberStateCode": "PA",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "390200000X",
          "TaxonomyName": "Student in an Organized Health Care Education/Training Program",
          "LicenseNumber": "MT228463",
          "LicenseNumberStateCode": "PA",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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