Individual
SHELLY DEPREY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CLC, RN
Contact information
Practice address
884 S PERLEY BROOK RD, FORT KENT, ME 04743-1923
(207) 316-6380
Mailing address
884 S PERLEY BROOK RD, FORT KENT, ME 04743-1923
Taxonomy
Speciality
Code
Description
License number
State
163WL0100X
Lactation Consultant (Registered Nurse)
Primary
RN53822
ME
Other
Enumeration date
02/21/2018
Last updated
02/21/2018
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