Individual
MS. KRYSTAN N. SHIMMEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
100 RADNOR RD, STE 101, STATE COLLEGE, PA 16801-7986
(814) 231-7878
(814) 237-1034
Mailing address
100 RADNOR RD, STE 101, STATE COLLEGE, PA 16801-7986
(814) 231-7878
(814) 237-1034
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
MA051414
PA
363A00000X
Physician Assistant
OA000903
PA
Other
Enumeration date
05/02/2006
Last updated
03/29/2016
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