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

MS. Shayna Fasanella

Individual provider Medical Physician Assistant · NPI 1407349384

MS. Shayna Fasanella is a Medical Physician Assistant in Palm Beach Gardens, Florida. Licensed in Florida and Michigan. Registered with an NPI since 2018.

Licensed in
FL, MI
In the registry since
2018
Specialties on file
2

Practice location Address checks out

5540 Pga Blvd Ste 200
Palm Beach Gardens, FL 33418-3987
Phone: (561) 571-4000
Fax: (561) 491-2271
Show map & directions

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

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence PA9112616 (FL)
Medical Physician Assistant Taxonomy 363AM0700X · Licence 5601008742 (MI)

Record details

NPI number1407349384
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJune 14, 2018
Last updated in NPPESJanuary 28, 2020
Certification dateJanuary 28, 2020

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