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:
Health care specialties
| Specialty | Code | License # | 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 17 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| 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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