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Individual

MRS. BETHANY SHEETS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP

Contact information

Practice address
25A JUNE ST, SANFORD, ME 04073-2642
(999) 999-9999
Mailing address
22 MISSY DR, NEW GLOUCESTER, ME 04260-4028
(207) 423-3582

Taxonomy

Speciality
Code
Description
License number
State
163WE0003X
Emergency Registered Nurse
RN65484
ME
363LF0000X
Family Nurse Practitioner
Primary
CNP161108
ME

Other

Enumeration date
07/11/2016
Last updated
08/16/2016
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