Individual
AMANDA DAHLGREN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
1420 MAIN ST, SANFORD, ME 04073-3680
(207) 850-5744
Mailing address
360 US HIGHWAY 1 BYP UNIT 102, PORTSMOUTH, NH 03801-7105
(603) 410-6700
(603) 319-8308
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
090946-23
NH
363LF0000X
Family Nurse Practitioner
Primary
CNP231098
ME
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
090946-23
STATE OF NEW HAMPSHIRE BOARD OF NURSING
NH
01
—
CNP231098
MAINE STATE BOARD OF NURSING
ME
01
—
RN72395
MAINE STATE BOARD OF NURSING
ME
Enumeration date
09/11/2020
Last updated
11/15/2023
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