IndividualActive
Beth Shanks, PA-C
NPI 1336370535 · Medical Physician Assistant · Gloucester, MA
Provider details
- NPI number
- 1336370535
- Entity type
- Individual
- Primary specialty
- Medical Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA-C
- Sex
- Female
- Sole proprietor
- No
- License
- PA3829 (MA)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
2 Blackburn Dr
Gloucester, MA 01930-2227
Phone: (978) 281-1500
Fax: (978) 282-3699
Approximate (ZIP-level) locationGet directions
Mailing address
2 Blackburn Dr
Gloucester, MA 01930-2227
Registry dates
- Enumerated
- 2009-08-05
- Last updated
- 2009-08-05
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.