Individual
MRS. SHANNON MARIE FLEWELLING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
AGACNP-BC
Contact information
Practice address
18 GREEN HILL RD, PRESQUE ISLE, ME 04769-2810
(207) 764-9406
Mailing address
225 GORHAM RD STE 200, SOUTH PORTLAND, ME 04106-2462
(207) 400-8891
Taxonomy
Speciality
Code
Description
License number
State
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
CNP221476
ME
363LA2100X
Acute Care Nurse Practitioner
Primary
CNP221476
ME
Other
Enumeration date
08/24/2022
Last updated
09/22/2024
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