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Individual

SHAWN BOOKHAMMER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
1227 WARM SPRINGS AVE, HUNTINGDON, PA 16652-2300
(814) 643-8779
(814) 643-7021
Mailing address
1225 WARM SPRINGS AVE, HUNTINGDON, PA 16652-2350
(814) 643-8295
(814) 643-7021

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
SP009937
PA
363LA2100X
Acute Care Nurse Practitioner
SP009937
PA
363LA2200X
Adult Health Nurse Practitioner
Primary
SP009937
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
102207837
PA
01
133555
MEDICARE
PA
Enumeration date
09/05/2008
Last updated
10/23/2019
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