Individual
AMANDA ELWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
66 BRAMHALL ST, PORTLAND, ME 04102-3344
(207) 662-3157
Mailing address
66 BRAMHALL ST, PORTLAND, ME 04102-3344
(207) 837-8393
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
CNP241411
ME
Other
Enumeration date
07/30/2024
Last updated
07/30/2024
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