Individual
MRS. SHARON J STATHOPLOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
REGISTERED NURSE
Contact information
Practice address
17 BISHOP ST FL 2, PORTLAND, ME 04103-2659
(207) 879-6160
Mailing address
899 RIVERSIDE ST, PORTLAND, ME 04103-1070
(207) 871-1200
(207) 871-1232
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
R028196
ME
Other
Enumeration date
10/05/2011
Last updated
10/07/2011
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