Marley-Derosier, Terry A

Marley-Derosier, Terry A is an individual health care provider with primary practice located at 700 Mount Hope Ave Suite 420, Bangor ME 04401-5691. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Women's Health, which is considered as her primary health care specialty. Marley-Derosier, Terry A can be contacted via phone (207) 947-5337.

Contact Information

Primary practice address
700 Mount Hope Ave Suite 420 Bangor ME 04401-5691
Phone: (207) 947-5337
Fax: (207) 947-9163
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Women's Health 363LW0102X R019043 Maine

Profile Details

NPI number 1982695391
LBN Legal business name Marley-Derosier, Terry A
Credentials WHCNP
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 3rd, 2005
Last updated Jul 18th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1982695391 NPPES
Maine Other 7493084 AETNA NON-HMO
Maine Other MN3827 AETNA NON-HMO
Maine Other 040638 AETNA NON-HMO
Maine Other 2351291 AETNA NON-HMO

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