Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

SHANNYN WALDRON, PA-C

Active

Physician Assistant · SOUTH PORTLAND, ME

Registration Details

NPI Number: 1730374414
Provider Type: Individual
Gender: Female
NPI Issued: Sep 6, 2007 (18.624480040941 yrs)
Last Updated: Sep 8, 2016
Licenses: PA1539 (ME)

PA2349 (MA)

Practice Information

Address: 100 FODEN RD, EAST

SUITE 100

SOUTH PORTLAND, ME, 04106
Browse ME providers · Browse ZIP 04106
Phone: 2075233700
Fax: 2075238590
Primary Specialty: Physician Assistant
363A00000X
Additional Specialty: Medical Physician Assistant

Other Physician Assistant Providers in SOUTH PORTLAND, ME

Name	Credential	NPI
MS. LAURIE MARTENS	PAC	1215906904
ERIN MARGARET MURPHY SANTOS	PA	1639129547
MS. MICHELE G SMITH	PA	1760590541
BRITTANY H ZOBELL	PA-C	1447334248
DONNA MARIE HEMPEL	PA-C	1417118274
MS. COURTNEY L. ANSON	P.A.	1518118264

Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.