Individual
DEANNA LEIGH SHORT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
489 STATE ST, BANGOR, ME 04401-6616
(207) 992-4032
(207) 992-4034
Mailing address
141 N MAIN ST, STE # 205, BREWER, ME 04412-2011
(207) 992-4032
(207) 992-4034
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
184847
NC
367500000X
Certified Registered Nurse Anesthetist
RNA143051
ME
Other
Enumeration date
10/27/2014
Last updated
11/29/2023
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