Individual
AMANDA MARIA SEBASTIAO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGACNP-BC
Contact information
Practice address
22 BRAMHALL ST, PORTLAND, ME 04102-3175
(207) 662-0111
Mailing address
58 COACH RD, SOUTH PORTLAND, ME 04106-3324
(774) 526-9081
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
CNP231613
ME
Other
Enumeration date
01/29/2024
Last updated
01/29/2024
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