Individual
MIRANDA SHANE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
15 GRACELAWN RD, AUBURN, ME 04210-6334
(207) 333-4710
Mailing address
15 GRACELAWN RD, AUBURN, ME 04210-6334
(207) 333-4710
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA2219
ME
Other
Enumeration date
07/23/2021
Last updated
02/11/2026
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