Individual
COURTNEY PAIGE SHUPP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2200 ST LUKES BLVD STE 100, EASTON, PA 18045-5665
(484) 526-1735
Mailing address
801 OSTRUM ST, BETHLEHEM, PA 18015-1000
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
25MP00936900
NJ
363A00000X
Physician Assistant
Primary
MA064947
PA
Other
Enumeration date
05/08/2023
Last updated
11/05/2025
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