Individual
LISA ANN BARRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RNC; MSW; PMHNP-C
Contact information
Practice address
15 PLEASANT HILL RD STE 204, SCARBOROUGH, ME 04074-9688
(207) 799-9888
(207) 799-9887
Mailing address
PO BOX 7060, SCARBOROUGH, ME 04070-7060
(207) 799-9888
(207) 799-9887
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN25117
ME
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
CNP91065
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
435421999
—
ME
Enumeration date
02/08/2010
Last updated
04/26/2021
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