Individual
SHAWN DAVID TREDINNICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP-C
Contact information
Practice address
100 N ACADEMY AVE, DANVILLE, PA 17822-7127
(570) 214-9585
(570) 214-9519
Mailing address
100 N ACADEMY AVE, DANVILLE, PA 17822-4903
(570) 271-6144
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN161343
LA
363L00000X
Nurse Practitioner
Primary
SP028280
PA
363LF0000X
Family Nurse Practitioner
226723
LA
Other
Enumeration date
06/17/2022
Last updated
11/29/2023
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