Individual
SHANNON A MCENERNEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
220 MAIN ST STE 1A, OXFORD, CT 06478-1065
(203) 888-5527
(203) 888-3727
Mailing address
67 MAPLE AVE, DERBY, CT 06418-1328
(203) 888-5527
(203) 888-3727
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
7013
CT
Other
Enumeration date
06/10/2024
Last updated
03/04/2025
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