Individual
MRS. SHIRLEY A. GOVE-VLAHOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
NORTHERN LIGHT RHEUMATOLOGY 43 WHITING HILL RD, ST. 34, BREWER, ME 04412
(207) 973-9767
Mailing address
43 WHITING HILL RD STE 34, BREWER, ME 04412-1005
(207) 973-9767
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
CNP181188
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1306944038
—
ME
Enumeration date
09/20/2006
Last updated
11/01/2018
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