Individual
MRS. LEANN FAYNE SHELMIRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
555 E MARKET ST, ELMIRA, NY 14901-3223
(607) 737-7838
Mailing address
185 E ELMIRA ST, MANSFIELD, PA 16933-1018
(570) 404-1770
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
012145-1
NY
363AM0700X
Medical Physician Assistant
12145
NY
Other
Enumeration date
11/09/2007
Last updated
07/17/2023
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