Individual
SHARI L WELLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
22 BRAMHALL ST, PORTLAND, ME 04102-3134
(207) 662-1400
Mailing address
22 BRAMHALL ST, PEDIATRIC HOSPITALIST MEDICINE, PORTLAND, ME 04102-3175
Taxonomy
Speciality
Code
Description
License number
State
2080P0202X
Pediatric Cardiology Physician
D74547
MD
2080P0202X
Pediatric Cardiology Physician
Primary
MD20161
ME
2080P0202X
Pediatric Cardiology Physician
MD431977
PA
208M00000X
Hospitalist Physician
MD20161
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
056556300
—
MD
05
—
1026001210001
—
PA
Enumeration date
06/15/2011
Last updated
01/19/2024
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