Hall, Shelby Miranda

Hall, Shelby Miranda is an individual health care provider with primary practice located at 1430 Colvin Bvld , Tonawanda NY 14223. She recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is her primary health care specialty. Hall, Shelby Miranda can be contacted via phone (716) 874-4060.

Contact Information

Primary practice address
1430 Colvin Bvld Tonawanda NY 14223
Phone: (716) 874-4060
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 025325 New York

Profile Details

NPI number 1386111433
LBN Legal business name Hall, Shelby Miranda
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 26th, 2018
Last updated Nov 26th, 2024 - about 2 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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