National Provider Identifier

Shaina Angela Depaul, PA-C

Shaina Angela Depaul, PA-C is listed in the NPPES registry with a primary specialty of Physician Assistant in Rochester, NY and a listed phone number of (585) 275-8138.

NPI 1194186502Rochester, NYPhysician Assistant

Profile Overview

NPI
1194186502
Provider Type
Individual
Primary Specialty
Physician Assistant
Enumeration Date
March 11, 2016
Last Updated
February 06, 2023

Practice Location

  • 601 Elmwood Ave
  • Rochester, NY 14642-0001

Phone: (585) 275-8138

Mailing Address

  • 601 Elmwood Ave Box 635
  • Rochester, NY 14642-0001

Specialties

  • Physician Assistant (363A00000X)
Full Record
NPI
1194186502
Entity Type
Individual
Last Name
Depaul
First Name
Shaina
Middle Name
Angela
Credential
PA-C
Mailing Street Address
601 Elmwood Ave Box 635
Mailing City
Rochester
Mailing State
NY
Mailing ZIP Code
14642-0001
Mailing Country
US
Mailing Phone
(585) 275-8138
Practice Street Address
601 Elmwood Ave
Practice City
Rochester
Practice State
NY
Practice ZIP Code
14642-0001
Practice Country
US
Practice Phone
(585) 275-8138
Enumeration Date
March 11, 2016
Last Updated
February 06, 2023
Sex
Female
Sole Proprietor
Yes
Certification Date
February 06, 2023
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Physician Assistant (363A00000X)