Individual
MELISSA NICOLE SHANER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1611 POND RD STE 301, ALLENTOWN, PA 18104-2258
(842) 734-6774
(484) 273-4687
Mailing address
PO BOX 1754, ALLENTOWN, PA 18105-1754
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
—
—
363AM0700X
Medical Physician Assistant
Primary
MA055704
PA
Other
Enumeration date
09/04/2012
Last updated
11/20/2018
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