Individual
ANDREA SHELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
175 MARTIN AVE STE 350, EPHRATA, PA 17522-1763
(717) 738-5648
Mailing address
601 MEMORY LN, YORK, PA 17402-2231
(717) 851-1405
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
MA059476
PA
Other
Enumeration date
10/06/2017
Last updated
07/11/2024
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