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Individual

ERIN KATHLEEN SHEFFERLY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CNP

Contact information

Practice address
22 BRAMHALL ST, PORTLAND, ME 04102-3134
(207) 662-0810
Mailing address
797 MAIN ST, SOUTH PORTLAND, ME 04106-6016
(207) 331-6212

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
AP60522739
WA
363LF0000X
Family Nurse Practitioner
Primary
CNP171163
ME

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
G8937484
MEDICARE
WA
Enumeration date
11/21/2014
Last updated
11/26/2018
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