Individual
SHAWN R MAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
74 MUNSILL AVE, SUITE 100, BRISTOL, VT 05443-1032
(802) 453-5028
(802) 453-6105
Mailing address
74 MUNSILL AVE, SUITE 100, BRISTOL, VT 05443-1032
(802) 453-5028
(802) 453-6105
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
089.0001082
VT
363A00000X
Physician Assistant
Primary
055.0031128
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9000563
—
VT
Enumeration date
04/24/2012
Last updated
09/26/2013
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