Individual
CARLEY D LAVERRIERE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
15 MOLLISON WAY, LEWISTON, ME 04240-5805
(207) 777-4440
(207) 777-8197
Mailing address
C/O ST MARYS HEALTH SYSTEM - PROVIDER ENROLLMENT, PO BOX 7291, LEWISTON, ME 04243-7291
(207) 777-8950
(207) 777-8800
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
CNP201094
ME
Other
Enumeration date
05/04/2020
Last updated
05/04/2020
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