National Provider Identifier
Shelby Miranda Hall, PA-C
Shelby Miranda Hall, PA-C is listed in the NPPES registry with a primary specialty of Physician Assistant in Tonawanda, NY and a listed phone number of (716) 874-4060.
Profile Overview
- NPI
- 1386111433
- Provider Type
- Individual
- Primary Specialty
- Physician Assistant
- Enumeration Date
- October 26, 2018
- Last Updated
- November 26, 2024
Practice Location
- 1430 Colvin Bvld
- Tonawanda, NY 14223
Phone: (716) 874-4060
Mailing Address
- 726 Exchange St Ste 710
- Buffalo, NY 14210-1464
Specialties
- Physician Assistant (363A00000X)
- Student in an Organized Health Care Education/Training Program (390200000X)
Full Record
- NPI
- 1386111433
- Entity Type
- Individual
- Last Name
- Hall
- First Name
- Shelby
- Middle Name
- Miranda
- Name Prefix
- Miss
- Credential
- PA-C
- Mailing Street Address
- 726 Exchange St Ste 710
- Mailing City
- Buffalo
- Mailing State
- NY
- Mailing ZIP Code
- 14210-1464
- Mailing Country
- US
- Mailing Phone
- (716) 852-4772
- Practice Street Address
- 1430 Colvin Bvld
- Practice City
- Tonawanda
- Practice State
- NY
- Practice ZIP Code
- 14223
- Practice Country
- US
- Practice Phone
- (716) 874-4060
- Enumeration Date
- October 26, 2018
- Last Updated
- November 26, 2024
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- November 25, 2024
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Physician Assistant (363A00000X), Student in an Organized Health Care Education/Training Program (390200000X)