Individual
SHAWN JUDE MCILVAIN
Active
Individual
SHAWN JUDE MCILVAIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNP
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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