MEDICARE: CATHERINE ANNE MCCANN-SHELTON PA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363A00000X	Physician Assistant	0110001896	VA

General Provider Information

NPI Number	:	1861597056
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CATHERINE ANNE MCCANN-SHELTON PA

Provider Business Mailing Address
First Line	:	11803 JEFFERSON AVE STE 230
Second Line	:
City	:	NEWPORT NEWS
State	:	VA
Zip	:	23606-4390
Country	:	US
Telephone Number	:	757-534-7701
Fax Number	:	757-534-7708

Provider Business Practice Location Address
First Line	:	400 SENTARA CIR
Second Line	:	SUITE 103
City	:	WILLIAMSBURG
State	:	VA
Zip	:	23188-5716
Country	:	US
Telephone Number	:	757-534-7701
Fax Number	:	757-534-7708

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/13/2006
Last Update Date	:	05/07/2026

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