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Individual

MR. JOHN PAUL SHANK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CRNP

Contact information

Practice address
228 SAINT CHARLES WAY STE 300, YORK, PA 17402-4661
(717) 812-5400
(717) 741-3598
Mailing address
601 MEMORY LN, YORK, PA 17402-2231
(717) 851-1405

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
SP015034
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
PO1831887
RAILROAD MEDICARE
PA
Enumeration date
04/23/2015
Last updated
05/23/2025
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