Individual
AMANDA SOTIRELIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
242 BRUNSWICK ST, OLD TOWN, ME 04468-1613
(207) 827-6128
Mailing address
PO BOX 1599, BANGOR, ME 04402-1599
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN56462
ME
363L00000X
Nurse Practitioner
Primary
CNP161167
ME
Other
Enumeration date
10/05/2016
Last updated
09/22/2022
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