Individual
AMELIA M HANEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
716 STEVENS AVE, PORTLAND, ME 04103-2656
(860) 391-2022
Mailing address
132 MARGINAL WAY APT 450, PORTLAND, ME 04101-7423
(860) 391-2022
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
148993
ME
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
07/15/2021
Last updated
09/09/2023
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