Individual
ERIN M SHANAVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
1 PARKLAND DR, DERRY, NH 03038-2746
(603) 421-2143
(603) 421-2344
Mailing address
1 PARKLAND DR, DERRY, NH 03038-2746
(603) 421-2143
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
0532P
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30333268
—
NH
Enumeration date
07/18/2006
Last updated
10/11/2013
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