DEANNA LEIGH SHORT

BANGOR, ME
NPI1902201403
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: NC  184847)
Additional Taxonomies367500000X Nurse Anesthetist, Certified Registered
(Licence: ME  RNA143051)
Enumeration Date2014-10-27
Last Update Date2023-11-29
Business Address
DEANNA LEIGH SHORT CRNA
489 STATE ST
BANGOR, ME 04401-6616
Phone number: 207-992-4032
Mailing Address
DEANNA LEIGH SHORT CRNA
141 N MAIN ST STE # 205
BREWER, ME 04412-2011
Phone number: 207-992-4032