Individual
SHELLEY A LARAIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RNC
Contact information
Practice address
216 VAUGHAN ST, PORTLAND, ME 04102-3204
(207) 662-4337
(207) 662-7081
Mailing address
216 VAUGHAN ST, PORTLAND, ME 04102-3204
(207) 662-4337
(207) 662-7081
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
R028055
ME
Other
Enumeration date
11/03/2006
Last updated
07/08/2007
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