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Individual

AMANDA ELIZABETH MAGNOLI

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ANP-BC

Contact information

Practice address
11 ROCK ROW STE 320, WESTBROOK, ME 04092-4877
(207) 303-3300
(207) 250-2139
Mailing address
PO BOX 911, BRATTLEBORO, VT 05302-0911
(207) 303-3200
(207) 250-2140

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
846102
TX
363L00000X
Nurse Practitioner
Primary
CNP151089
ME
363LA2200X
Adult Health Nurse Practitioner
004742
CT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
328301201
TX
01
8148NF
BCBS
TX
Enumeration date
01/25/2012
Last updated
04/21/2026
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