Individual
MRS. SHELLEY RENEE ILLINGWORTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
2402 ROUTE 2 UNIT 1, HERMON, ME 04401-0665
(207) 848-2020
Mailing address
720 CENTRAL ST, MILLINOCKET, ME 04462-1800
(207) 723-9850
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
PH23998
MA
183500000X
Pharmacist
Primary
PR4777
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1265721773
NPI#
ME
Enumeration date
04/05/2011
Last updated
01/28/2016
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us