Individual
MRS. SHANNON FRESHWATER LONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
6900 ALDEN DR, FE WARREN AFB, WY 82005-2945
(307) 773-3435
Mailing address
UNIT 3215, APO, AE 09094-3215
(314) 479-2049
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1588111090
NPI
—
Enumeration date
09/01/2016
Last updated
10/26/2022
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us