Individual
AMY LYNN MCAULIFFE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP, RN
Contact information
Practice address
106 GILMAN ST, PORTLAND, ME 04102-3034
(207) 874-1087
(207) 553-9236
Mailing address
78 ATLANTIC PL, SOUTH PORTLAND, ME 04106-2316
(207) 661-6654
(207) 842-7773
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN45690
ME
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
CNP81178
ME
Other
Enumeration date
08/31/2006
Last updated
01/23/2015
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