SHANNON MCCRILLIS

PORTLAND, ME
NPI1245914027
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363AM0700X Physician Assistant, Medical
Additional Taxonomies363A00000X Physician Assistant
Enumeration Date2023-06-13
Last Update Date2023-07-24
Business Address
SHANNON MCCRILLIS PA
22 BRAMHALL ST
PORTLAND, ME 04102-3134
Phone number: 207-662-5610
Mailing Address
SHANNON MCCRILLIS PA
3 ROGERS LN
KITTERY, ME 03904-1115
Phone number: 207-752-6177