Brady-Powers, Shannon

Brady-Powers, Shannon is an individual health care provider with primary practice located at 925 Chestnut St Sixth Floor, Philadelphia PA 19107-4216. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Otorhinolaryngology & Head-Neck, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Brady-Powers, Shannon can be contacted via phone (215) 955-6760.

Contact Information

Primary practice address
925 Chestnut St Sixth Floor Philadelphia PA 19107-4216
Phone: (215) 955-6760
Fax: (215) 923-4532
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Otorhinolaryngology & Head-Neck 163WX0601X RN536907 Pennsylvania
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X SP009125 Pennsylvania

Profile Details

NPI number 1669665303
LBN Legal business name Brady-Powers, Shannon
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 27th, 2007
Last updated Feb 21st, 2018 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1669665303 NPPES
Pennsylvania MEDICAID 102879964

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