Individual provider · Type 1 NPI

Shannon McCrillis, PA

Medical Physician Assistant · Portland, ME

NPI number 1245914027 Active

Practice location

22 Bramhall St
Portland, ME 04102-3134

Mailing address

3 Rogers Ln
Kittery, ME 03904-1115

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant 363A00000XNone listed
Medical Physician Assistant Primary 363AM0700XNone listed

Medical Physician Assistant: Definition to come...

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About NPI 1245914027

Shannon McCrillis, PA's National Provider Identifier is 1245914027, issued on Jun 13, 2023. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Portland, ME. The record was last updated on Jul 24, 2023.