Individual
ELIZABETH SHERLOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PNP
Contact information
Practice address
582 ROOSEVELT TRAIL, WINDHAM, ME 04075
(207) 829-3233
(207) 893-0752
Mailing address
301C US ROUTE 1, SCARBOROUGH, ME 04074-9701
(207) 396-8600
(207) 396-8632
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
CNP81664
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
254690099
—
ME
Enumeration date
10/04/2006
Last updated
02/27/2012
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