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Individual

AMANDA BUBAR

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
22 STATION AVE, BRUNSWICK, ME 04011-2092
(207) 373-6800
Mailing address
1 MEDICAL CENTER DR, EMERGENCY MEDICINE, LEBANON, NH 03756-1000
(603) 650-8380

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
070734-23
NH
363LF0000X
Family Nurse Practitioner
50082
ME
363LF0000X
Family Nurse Practitioner
Primary
CNP131111
ME

Other

Enumeration date
01/30/2014
Last updated
03/10/2023
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