Shane Bannon is an acute care nurse practitioner in Philadelphia, PA with 3 years of experience. Shane Bannon NPI is 1245997220. The provider is registered as an individual entity type and is a single specialty group.
The NPPES NPI record indicates the provider is a male.
The provider's business location address is:
1 CONVENTION AVE
PHILADELPHIA, PA
ZIP 19104-311
Phone: (800) 789-7366
The NPI 1245997220 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.
The enumeration date for this NPI number is 11/24/2021 and was last updated on 11/24/2021.