Individual
SHANNON MOHOLLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
405 SILVERSIDE RD STE 104, WILMINGTON, DE 19809-1768
(844) 365-7246
(844) 516-0080
Mailing address
291 CARTER DR STE A, MIDDLETOWN, DE 19709-5845
(844) 365-7246
(844) 516-0080
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
C5-0011500
DE
363A00000X
Physician Assistant
MA062225
PA
Other
Enumeration date
01/27/2021
Last updated
05/05/2023
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