| Doctor Name: | MS. SHANNON E WEST-BUXTON |
| NPI Number: | 1407843709 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PNP |
| License Number: | 169646 |
| Business Practice Address: | 15 Vreeland Ave East Longmeadow, MA - 010281631 |
| Business Phone Number: | 4137872555 |
| Business Fax Number: | 4137879992 |
| Mailing Address: | 15 Vreeland Ave, EAST LONGMEADOW |
| State: | MA |
| Postal Code: | 010281631 |
| Phone Number: | 4137872555 |
| Fax Number: | 4137879992 |
| NPI Enumeration Date: | 10/02/2005 |
| NPI Last Update Date: | 12/13/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LP0200X |
| License Number: | 169646 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MA |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Pediatrics |
| Taxonomy Definition: | |