Provider Demographics
NPI:1861466880
Name:MCSHERRY, LINDA M (ANP)
Entity Type:Individual
Prefix:MRS
First Name:LINDA
Middle Name:M
Last Name:MCSHERRY
Suffix:
Gender:F
Credentials:ANP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:193 MAIN ST
Mailing Address - Street 2:SUITE 1
Mailing Address - City:NORWAY
Mailing Address - State:ME
Mailing Address - Zip Code:04268-5645
Mailing Address - Country:US
Mailing Address - Phone:207-743-7721
Mailing Address - Fax:207-743-6306
Practice Address - Street 1:193 MAIN ST
Practice Address - Street 2:SUITE 1
Practice Address - City:NORWAY
Practice Address - State:ME
Practice Address - Zip Code:04268-5645
Practice Address - Country:US
Practice Address - Phone:207-743-7721
Practice Address - Fax:207-743-6306
Is Sole Proprietor?:No
Enumeration Date:2006-02-15
Last Update Date:2013-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MECNP81077363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
ME316590099Medicaid
MENP0400Medicare PIN
ME000745903Medicare PIN
S32220Medicare UPIN
ME316590099Medicaid