Provider Demographics
NPI:1760278691
Name:AMANN, SHELLY (BA,MS)
Entity type:Individual
Prefix:MRS
First Name:SHELLY
Middle Name:
Last Name:AMANN
Suffix:
Gender:F
Credentials:BA,MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:240 W 11TH ST
Mailing Address - Street 2:
Mailing Address - City:ERIE
Mailing Address - State:PA
Mailing Address - Zip Code:16501-1758
Mailing Address - Country:US
Mailing Address - Phone:814-452-2218
Mailing Address - Fax:814-452-4639
Practice Address - Street 1:240 W 11TH ST
Practice Address - Street 2:
Practice Address - City:ERIE
Practice Address - State:PA
Practice Address - Zip Code:16501-1758
Practice Address - Country:US
Practice Address - Phone:814-452-2218
Practice Address - Fax:814-452-4639
Is Sole Proprietor?:Yes
Enumeration Date:2025-04-17
Last Update Date:2025-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174H00000XOther Service ProvidersHealth Educator