Active NPIIndividual providerSole proprietor

Shelly Deprey, CLC, RN

Registered Nurse, Lactation Consultant in Fort Kent, Maine

NPI Number1588165088
Practice location
884 S Perley Brook RD, Fort Kent, ME 04743-1923
Fax
—
Last updated
February 21, 2018

Shelly Deprey is a Registered Nurse, Lactation Consultant based in Fort Kent, ME. Shelly Deprey practices in Fort Kent, ME and has the professional credentials of CLC, RN. The NPI Number for Shelly Deprey is 1588165088 and holds a License No. RN53822 (ME). The current practice location address for Shelly Deprey is 884 S Perley Brook RD, Fort Kent, ME 04743-1923 and can be reached out via phone at 207-316-6380.

Provider Profile Details

NPI Number
1588165088
Provider Name
Shelly Deprey
Credential
CLC, RN
Provider Entity Type
Individual
Gender
Female
Address
884 S Perley Brook RD, Fort Kent, ME 04743-1923
Phone Number
207-316-6380
Primary Taxonomy
Registered Nurse, Lactation Consultant · 163WL0100X
Sole Proprietor
Yes
Provider Enumeration Date
February 21, 2018
Last Update Date
February 21, 2018
NPI Status
Active

Provider Business Practice Location Address Details

Address
884 S Perley Brook RD
Fort Kent, ME 04743-1923
State
Maine
Zip
04743-1923
Phone Number
207-316-6380
Fort Kent, ME 04743Get directions →

Provider Business Mailing Address Details

Address
884 S Perley Brook RD
Fort Kent, ME 04743-1923
City
Fort Kent
State
ME
Zip
04743-1923

License Information

License Number
RN53822
License State
ME
Taxonomy
Registered Nurse, Lactation Consultant · 163WL0100X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Shelly Deprey, CLC, RN?

The NPI number of Shelly Deprey, CLC, RN is 1588165088. It was assigned on February 21, 2018 and is currently active in the NPPES registry.

What is the specialty of Shelly Deprey, CLC, RN?

Shelly Deprey, CLC, RN is registered under the primary taxonomy Registered Nurse, Lactation Consultant (code 163WL0100X), licensed in ME under license number RN53822.

Where does Shelly Deprey, CLC, RN practice?

The practice location is 884 S Perley Brook RD, Fort Kent, ME 04743-1923. The office can be reached at 207-316-6380 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1588165088 directly on the NPPES registry website.

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