Shannyn Waldron is a Medical in South Portland, Maine. Shannyn Waldron practices all healthcare services and medical treatments related to Medical. The NPI Number for Shannyn Waldron is 1730374414. The last update date is 2016-09-08.
Shannyn Waldron's current location address is 100 Gannett Dr, South Portland, Maine. You can contact this provider via phone number 2078280361 and fax number 2078741483. The mailing address for Shannyn Waldron is 100 Gannett Dr, South Portland, Maine. To know further, please read the information below!
Provider Profile Detail
Provider Name | Shannyn Waldron |
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Address | 100 Gannett Dr, South Portland, Maine |
Phone Number | 2078280361 |
Fax Number | 2078741483 |
Sole Proprietor | N |
Credentials | PA-C |
NPI Number Detail
NPI Number | 1730374414 |
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Provider Enumeration Date | 2007-09-06 |
Last Updated Date | 2016-09-08 |
Provider Mailing Address Detail
Address | 100 Gannett Dr |
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City | South Portland |
State | Maine (ME) |
Post Code | 41065900 |
Phone Number | 2078280361 |
Fax Number | 2078741483 |
Provider's Primary Taxonomy Detail
Speciality | Medical |
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Taxonomy | 363Am0700X |
Licence No | PA2349 |
Definition: A licensed healthcare professional who practices medicine under physician supervision focusing on medical diagnoses and treatment. |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Shannyn Waldron by the Centers for Medicare & Medicaid Services?
The Shannyn Waldron has been issued the NPI (National Provider Identifier) 1730374414 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you provide the complete physical address where Shannyn Waldron is located?
The Shannyn Waldron is situated at the following address: 100 Gannett Dr, South Portland, ME, 41065900.
What is Shannyn Waldron's specialized field of practice, and what is the corresponding taxonomy classification code?
The Shannyn Waldron's area of specialization is Medical, and the corresponding taxonomy code that categorizes this field of practice is 363Am0700X.
On what date was the 1730374414 assigned to Shannyn Waldron?
The Shannyn Waldron was issued its 1730374414 on 2007-09-06, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date was the information pertaining to Shannyn Waldron, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Shannyn Waldron, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2016-09-08.
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