Individual
AMY LEE CALDWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
46 FAIRVIEW AVE, SKOWHEGAN, ME 04976-1481
(207) 474-5121
(207) 858-2415
Mailing address
46 FAIRVIEW AVE, SKOWHEGAN, ME 04976-1481
(207) 474-5121
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
PA001243
ME
363A00000X
Physician Assistant
PA305
ME
363AM0700X
Medical Physician Assistant
Primary
PA305
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1598066409
—
ME
Enumeration date
11/09/2010
Last updated
06/27/2023
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