Doctor Name: | MRS. WENDI SUE SHILLINGBURG |
NPI Number: | 1033207238 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PA-C |
License Number: | C0003062 |
Business Practice Address: | 924 Seton Dr Cumberland, MD - 215021851 |
Business Phone Number: | 3017248847 |
Business Fax Number: | 3017247016 |
Mailing Address: | 925 Bishop Walsh Rd, Suite 4 CUMBERLAND |
State: | MD |
Postal Code: | 215021845 |
Phone Number: | 3017775326 |
Fax Number: | 3017770325 |
NPI Enumeration Date: | 10/11/2006 |
NPI Last Update Date: | 01/24/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363AS0400X |
License Number: | C0003062 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MD |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Physician Assistant |
Taxonomy Specialization: | Surgical |
Taxonomy Definition: |