Whalio Doctors

NPI 1235157488

Shellyann Wall, PAC

Practitioner Physician Assistant Belfast, ME

Practice location

Address
118 Northport Ave, Belfast, ME 04915-6009
Phone
(207) 338-2500
Fax
(207) 505-4590
Mailing address
90 Southside Ave Suite 350, Asheville, NC 28801-4160

Registered specialties (2)

Physician Assistant Primary
Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X Licence PA2003 (ME)
Physician Assistant
Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X Licence 103723 (NC)

Registry record

NPI
1235157488
Entity type
Individual
Sex (as registered)
Female
NPI issued
17 Jul 2006
Record last updated
30 Jan 2024

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.