Individual provider · Type 1 NPI

Shannon R. Packer, PA-C

Medical Physician Assistant · Glastonbury, CT

NPI number 1861825259 Active

Practice location

305 Western Blvd
Glastonbury, CT 06033-4380

Call (860) 522-0604 Map

Other practice locations

  • 80 Seymour St, Hartford, CT 06102-8000 · (860) 972-4166

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant 363A00000X2946 (CT)
Medical Physician Assistant Primary 363AM0700X23.002946 (CT)

Medical Physician Assistant: Definition to come...

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About NPI 1861825259

Shannon R. Packer, PA-C's National Provider Identifier is 1861825259, issued on Aug 20, 2013. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Glastonbury, CT. The record was last updated on Jul 11, 2023.