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Individual

ALISSA ELIZABETH BERRYMAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
321 SHORE RD, EDGECOMB, ME 04556-3204
(207) 350-6408
Mailing address
321 SHORE RD, EDGECOMB, ME 04556-3204
(207) 350-6408

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN67208
ME
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
079592-23
NH

Other

Enumeration date
04/23/2019
Last updated
04/23/2019
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