Individual
DR. AMBER NICOLE GRISSOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP, AGNP-C
Contact information
Practice address
689 BROADWAY, BANGOR, ME 04401-3366
(207) 744-8424
(207) 744-8425
Mailing address
689 BROADWAY, BANGOR, ME 04401-3366
(207) 744-8424
(207) 744-8425
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
CNP201287
ME
Other
Enumeration date
03/14/2018
Last updated
11/10/2025
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