Individual provider · Type 1 NPI

Melissa Nicole Shaner, PA-C

Medical Physician Assistant · Allentown, PA

NPI number 1376892505 Active

Practice location

1611 Pond Rd Ste 301
Allentown, PA 18104-2258

Call (842) 734-6774 Map

Fax (484) 273-4687

Mailing address

PO Box 1754
Allentown, PA 18105-1754

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant 363A00000XNone listed
Medical Physician Assistant Primary 363AM0700XMA055704 (PA)

Medical Physician Assistant: Definition to come...

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About NPI 1376892505

Melissa Nicole Shaner, PA-C's National Provider Identifier is 1376892505, issued on Sep 4, 2012. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Allentown, PA. The record was last updated on Nov 20, 2018.