Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LA2100X | Nurse Practitioner - Acute Care | CNP211206 | ME |
NPI | 1003482522 |
---|---|
Provider Name | Ms. Shauna Lynn Ferry |
First Address | Belfast, ME 04915-6029 |
Second Address | Belfast, ME 04915-6029 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/06/2021 |
Last Update Date | 03/06/2021 |