Donegan, Shannon Dee

Donegan, Shannon Dee is an individual health care provider with primary practice located at 2490 Hospital Dr Ste 111 , Mountain View CA 94040-4126. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Medical, Physician Assistants & Advanced Practice Nursing Providers / Surgical. Physician Assistants & Advanced Practice Nursing Providers / Surgical is her primary health care specialty. Donegan, Shannon Dee can be contacted via phone (650) 934-7530.

Contact Information

Primary practice address
2490 Hospital Dr Ste 111 Mountain View CA 94040-4126
Phone: (650) 934-7530
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X PA.0007622 Colorado
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X PA.0007622 Colorado
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X PA57225 California

Profile Details

NPI number 1497264246
LBN Legal business name Donegan, Shannon Dee
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 25th, 2017
Last updated Mar 10th, 2023 - about 3 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 1497264246 NPPES
Washington MEDICAID 2088082
Washington MEDICAID 500733841

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