Individual
SHANNA FIELDING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
120 VALLEY RD STE 100, MONTCLAIR, NJ 07042-2321
(201) 490-4333
Mailing address
181 PROSPECT ST, BRISTOL, NH 03222-3021
(702) 277-0122
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
07/24/2019
Last updated
07/07/2021
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