Individual provider · Type 1 NPI

Shawn Edmund Van Wallendael, PA

Physician Assistant · Charlotte, NC

NPI number 1376570689 Active

Practice location

10648 Park Rd
Charlotte, NC 28210-8407

Call (704) 355-9330 Map

Mailing address

PO Box 19305
Charlotte, NC 28219-9305

Other practice locations

  • 1100 Blythe Blvd, Charlotte, NC 28203-5814 · (704) 355-9330
  • 487 Lake Concord Rd NE, Concord, NC 28025-2934 · (704) 403-0300
  • 275 Beatty Dr, Belmont, NC 28012-2715 · (704) 355-9330

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X103076 (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 1376570689

Shawn Edmund Van Wallendael, PA's National Provider Identifier is 1376570689, issued on Jun 26, 2006. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Charlotte, NC. The record was last updated on Jul 15, 2024.