Individual
SHELLEY SIDES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN-CNP
Contact information
Practice address
268 STILLWATER AVE, BANGOR, ME 04401-3945
(800) 640-1211
Mailing address
489 STATE STREET, CLINICAL EDUCATION DEPT., BANGOR, ME 04401
(207) 973-7313
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
CNP221512
ME
Other
Enumeration date
09/26/2022
Last updated
09/26/2022
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