Individual provider · Type 1 NPI

Shannon Dorothea Vassallo, PA

Physician Assistant · Raleigh, NC

NPI number 1114357274 Active

Practice location

3801 Wake Forest Rd Ste 210
Raleigh, NC 27609-6864

Fax (919) 787-7247

Other practice locations

  • 4207 Lake Boone Trl Ste 220, Raleigh, NC 27607-6685 · (919) 784-1410

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant 363A00000XNone listed
Physician Assistant Primary 363A00000X0010-04755 (NC)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1114357274

Shannon Dorothea Vassallo, PA's National Provider Identifier is 1114357274, issued on Nov 26, 2013. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Raleigh, NC. The record was last updated on Dec 11, 2020.