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

Shane Bross

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1629866538

Shane Bross is a Student in an Organized Health Care Education/Training Program in Wilkes Barre, Pennsylvania. Registered with an NPI since 2025.

In the registry since
2025

Practice location Address checks out

1000 E Mountain Blvd
Wilkes Barre, PA 18711-0027
Phone: (570) 808-2340
Show map & directions

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

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1629866538
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedApril 29, 2025
Last updated in NPPESMay 27, 2025
Certification dateMay 27, 2025
Mailing address1000 E Mountain Blvd, Wilkes Barre, PA 18711-0027

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