Individual
MS. MARSHA MALLOY SHERER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
42 CEDAR ST, BANGOR, ME 04401-6433
(207) 947-0366
Mailing address
123 MEADOW RD, WINTERPORT, ME 04496-4036
(207) 930-0266
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
44804RN
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
101750000
MAINE CARE
ME
Enumeration date
05/01/2014
Last updated
05/01/2014
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