Individual
SHANNON N MOREAU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
61 BARRA RD, BIDDEFORD, ME 04005-9459
(207) 283-1441
Mailing address
PO BOX 9746, PORTLAND, ME 04104-5040
(207) 791-3888
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
0900
NH
363AM0700X
Medical Physician Assistant
Primary
PA1327
ME
Other
Enumeration date
05/08/2012
Last updated
11/13/2023
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