Provider Demographics
NPI:1487021259
Name:ROOPE, SHELLY (ARNP)
Entity type:Individual
Prefix:
First Name:SHELLY
Middle Name:
Last Name:ROOPE
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:22 HALEY CT
Mailing Address - Street 2:
Mailing Address - City:SANGERVILLE
Mailing Address - State:ME
Mailing Address - Zip Code:04479-3000
Mailing Address - Country:US
Mailing Address - Phone:207-876-4811
Mailing Address - Fax:207-876-4302
Practice Address - Street 1:22 HALEY CT
Practice Address - Street 2:
Practice Address - City:SANGERVILLE
Practice Address - State:ME
Practice Address - Zip Code:04479-3000
Practice Address - Country:US
Practice Address - Phone:207-876-4811
Practice Address - Fax:207-876-4302
Is Sole Proprietor?:No
Enumeration Date:2015-08-28
Last Update Date:2025-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MECNP151099363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner