SHYNEA LYNN HOLIDAY PA-C NPI 1619428505

NPI Information

NPI: 1619428505
Provider Name: SHYNEA LYNN HOLIDAY, PA-C
Classification: Physician Assistant - 363AS0400X
Entity Type: Individual

Specialization: Surgical

Organization: UNIVERSITY OF PENN MEDICAL GROUP

PECOS Registration: Yes

Address:
800 SPRUCE ST
9TH FL
PHILADELPHIA, PA
ZIP 19106
Phone: (267) 441-0149
Get Directions

Shynea Lynn Holiday, PA-C is a surgical physician assistant in Philadelphia, PA with 8 years of experience. Shynea Lynn Holiday, PA-C NPI is 1619428505. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

800 SPRUCE ST
9TH FL
PHILADELPHIA, PA
ZIP 19106-130
Phone: (267) 441-0149

The NPI 1619428505 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 10/17/2016 and was last updated on 12/19/2017.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363AS0400X	Physician Assistant	Surgical	MA059616	PENNSYLVANIA	Yes
2	363AS0400X	Physician Assistant	Surgical			No

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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