Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Shelley M Landry, MPAC

Individual provider Physician Assistant · NPI 1073590428

Shelley M Landry, MPAC is a Physician Assistant in Dover, New Hampshire. Qualified in 2002, 24 years ago. Practices with Wentworth Douglass Physician Corporation, a 431-clinician group and accepts Medicare assignment. Licensed in New Hampshire.

Years since qualifying
24
Licensed in
NH
In the registry since
2005
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Practice location Address checks out

789 Central Ave
Dover, NH 03820-2526
Phone: (603) 609-6819
Fax: (603) 609-6821
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 0539 (NH)

Record details

NPI number1073590428
Entity typeIndividual (Type 1)
GenderFemale
Credentials MPAC
Sole proprietorNo
NPI enumeratedDecember 28, 2005
Last updated in NPPESJanuary 30, 2020
Certification dateJanuary 30, 2020

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2002 (24 years in practice)
Group practice Wentworth Douglass Physician Corporation — 431 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

Other providers in Dover