Search › Arizona › 363AM0700X
Shannon Whitlock, PAC
NPI 1932274578 · on the registry since 2006
Practice
- Address
- 830 Ainsworth Dr
Prescott, AZ 86301 - Phone
- (928) 777-5800
- Fax
- (928) 776-0405
- Organisation at this address
- Forefront Dermatology, S.C.
Arizona Associates In Dermatology And Cosmetic Surgery, LlcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 15
Additional practice sites
- 203 S Candy Ln # 14, Cottonwood, AZ
- 820 Ainsworth Dr Ste A, Prescott, AZ
- 2820 N Glassford Hill Rd Ste 103, Prescott Valley, AZ
- 2820 N Glassford Hill Rd Ste 107, Prescott Valley, AZ
Registry record
- Primary taxonomy
- 363AM0700X
363AM0700X
- Also registered as
- 363AM0700X
- Licence states on file
- AZ, VA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2026-08-27
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Arizona