Individual
SHAWN JUDE MCILVAIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNP
Contact information
Practice address
827 GLENSIDE AVE, WYNCOTE, PA 19095
(215) 392-2892
Mailing address
3234 PEBBLEWOOD LANE, DRESTER, PA 19025
(215) 934-1072
Taxonomy
Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
LP-0010GI2
DE
Other
Enumeration date
01/27/2025
Last updated
01/27/2025
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