Individual provider · Type 1 NPI

Shantell S. Wray, PA

Physician Assistant · Groveland, FL

NPI number 1609966993 Active

Practice location

1296 W Broad St
Groveland, FL 34736-2012

Fax (352) 429-5606

Mailing address

110 S Woodland St
Winter Garden, FL 34787-3546

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X002435 (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 1609966993

Shantell S. Wray, PA's National Provider Identifier is 1609966993, issued on Oct 15, 2006. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Groveland, FL. The record was last updated on Oct 3, 2022.