Individual
SHANNA U WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1 MEDICAL CENTER DR, LEBANON, NH 03756-0001
(603) 650-5000
(603) 640-1228
Mailing address
1 MEDICAL CENTER DR, LEBANON, NH 03756-0001
(603) 650-5000
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
3033
NH
363AM0700X
Medical Physician Assistant
015600
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03770858
—
NY
Enumeration date
07/15/2008
Last updated
12/16/2025
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