Search › Maine › 124Q00000X
Shannon Faxon
NPI 1013475060 · on the registry since 2019 · sole proprietor
Practice
- Address
- 120 Mount Hunger Shore Rd
Windham, ME 04062 - Phone
- (207) 831-6704
Registry record
- Primary taxonomy
- 124Q00000X
124Q00000X
- Licence states on file
- ME
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2019-03-08
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Maine