Provider Demographics
NPI:1962624866
Name:BRETT, SHELDON CLYDE (RN)
Entity type:Individual
Prefix:MR
First Name:SHELDON
Middle Name:CLYDE
Last Name:BRETT
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Gender:M
Credentials:RN
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Mailing Address - Street 1:154 GLENWOOD AVENUE
Mailing Address - Street 2:APT 3
Mailing Address - City:BANGOR
Mailing Address - State:ME
Mailing Address - Zip Code:04401
Mailing Address - Country:US
Mailing Address - Phone:207-299-5533
Mailing Address - Fax:207-941-8645
Practice Address - Street 1:1 CUMBERLAND PLACE
Practice Address - Street 2:SUITE 108
Practice Address - City:BANGOR
Practice Address - State:ME
Practice Address - Zip Code:04401
Practice Address - Country:US
Practice Address - Phone:207-990-9000
Practice Address - Fax:207-945-8645
Is Sole Proprietor?:No
Enumeration Date:2007-05-02
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MER043305163WA2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WA2000XNursing Service ProvidersRegistered NurseAdministrator