NPI 1154994341

Miranda Shane, PA

Practitioner Physician Assistant Auburn, ME

Practice location

Address: 15 Gracelawn Rd, Auburn, ME 04210-6334
Phone: (207) 333-4710

Registered specialties

Physician Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X Licence PA2219 (ME)

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Registry record

NPI: 1154994341
Entity type: Individual
Sex (as registered): Female
NPI issued: 23 Jul 2021
Record last updated: 11 Feb 2026

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.