Individual provider · Type 1 NPI

Shaylah Marie Renzullo, PA

Physician Assistant · Meriden, CT

NPI number 1487338307 Active

Practice location

435 Lewis Ave
Meriden, CT 06451-2101

Call (203) 694-8200 Map

Mailing address

71 Haynes St
Manchester, CT 06040-4131

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X7247 (CT)

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 1487338307

Shaylah Marie Renzullo, PA's National Provider Identifier is 1487338307, issued on Jun 12, 2023. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Meriden, CT. The record was last updated on Oct 6, 2025.