Search › Maine › 363A00000X
Shannyn Waldron, PA-C
NPI 1730374414 · on the registry since 2007
Practice
- Address
- 100 Foden Rd, East
Suite 100
South Portland, ME 04106 - Phone
- (207) 523-3700
- Fax
- (207) 523-8590
- Organisation at this address
- Intermed, Pa
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 22
Registry record
- Primary taxonomy
- 363A00000X
363A00000X
- Also registered as
- 363AM0700X
- Licence states on file
- ME, MA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2016-09-08
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