| Doctor Name: | MR. RONALD LEE MESERVEY |
| NPI Number: | 1265672109 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | RN BC |
| License Number: | R043570 |
| Business Practice Address: | 30 Burr St Brewer, ME - 044122240 |
| Business Phone Number: | 2079470366 |
| Business Fax Number: | |
| Mailing Address: | 30 Burr St, BREWER |
| State: | ME |
| Postal Code: | 044122240 |
| Phone Number: | |
| Fax Number: | |
| NPI Enumeration Date: | 03/05/2009 |
| NPI Last Update Date: | 03/05/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 163WP0808X |
| License Number: | R043570 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | ME |
| Taxonomy Type: | Nursing Service Providers |
| Taxonomy Classification: | Registered Nurse |
| Taxonomy Specialization: | Psych/Mental Health |
| Taxonomy Definition: | |