Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mrs. Shannon Freshwater Long, PA-C

Individual provider Physician Assistant · NPI 1588111090

Mrs. Shannon Freshwater Long, PA-C is a Physician Assistant in Fe Warren AFB, Wyoming. Practices as a sole proprietor. Registered with an NPI since 2016.

In the registry since
2016
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

See every abbreviation used in this directory →

Practice location Address checks out

6900 Alden Dr
Fe Warren AFB, WY 82005-2945
Phone: (307) 773-3435
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X

Record details

NPI number1588111090
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorYes
NPI enumeratedSeptember 1, 2016
Last updated in NPPESOctober 26, 2022
Certification dateMarch 8, 2022

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