Waldron, Shannyn

Waldron, Shannyn is an individual health care provider with primary practice located at 100 Foden Rd, East Suite 100, South Portland ME 04106. 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 / Physician Assistant is her primary health care specialty. Waldron, Shannyn can be contacted via phone (207) 523-3700.

Contact Information

Primary practice address
100 Foden Rd, East Suite 100 South Portland ME 04106
Phone: (207) 523-3700
Fax: (207) 523-8590
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA1539 Maine
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X PA2349 Massachusetts

Profile Details

NPI number 1730374414
LBN Legal business name Waldron, Shannyn
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 6th, 2007
Last updated Sep 8th, 2016 - about 9 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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