Packer, Shannon R

Packer, Shannon R is an individual health care provider with primary practice located at 305 Western Blvd , Glastonbury CT 06033-4380. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Medical. Physician Assistants & Advanced Practice Nursing Providers / Medical is her primary health care specialty. Packer, Shannon R can be contacted via phone (860) 522-0604.

Contact Information

Primary practice address
305 Western Blvd Glastonbury CT 06033-4380
Phone: (860) 522-0604
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 2946 Connecticut
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 23.002946 Connecticut

Profile Details

NPI number 1861825259
LBN Legal business name Packer, Shannon R
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 20th, 2013
Last updated Jul 11th, 2023 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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