Individual
AMY PLANTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
818 CONGRESS ST, PORTLAND, ME 04102-3112
(207) 773-8161
Mailing address
190 RIVERSIDE ST, SUITE 6B, PORTLAND, ME 04103-1073
(207) 661-2000
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
5601007052
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1326455742
—
ME
Enumeration date
07/17/2014
Last updated
02/13/2019
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