NICOLE SHAWNTAY KELLY

LEWISTON, ME
NPI1114689817
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: ME  CNP211493)
Enumeration Date2021-10-10
Last Update Date2021-10-10
Business Address
Mrs. NICOLE SHAWNTAY KELLY FNP-C
300 MAIN ST
LEWISTON, ME 04240-7041
Phone number: 207-795-0111
Mailing Address
Mrs. NICOLE SHAWNTAY KELLY FNP-C
18 LAURIER ST
LEWISTON, ME 04240-4106
Phone number: 207-332-0522