Shannon R Packer, PA-C Valid NPI

Individual provider · Medical Physician Assistant · Glastonbury, CT

NPI

1861825259

Type

Individual (Type 1)

Primary specialty

Medical Physician Assistant (Physician Assistant)

Specialty group

Physician Assistants & Advanced Practice Nursing Providers

Taxonomy code

363AM0700X

License number

23.002946 (CT)

Sex

Female

Sole proprietor

No

Enumerated

2013-08-20

Last updated

2023-07-11