Individual
MRS. AMANDA GAGE WOODS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NNP-BC
Contact information
Practice address
22 BRAMHALL ST, PORTLAND, ME 04102-3134
(207) 662-0324
Mailing address
22 BRAMHALL ST, PORTLAND, ME 04102-3175
(207) 662-0324
Taxonomy
Speciality
Code
Description
License number
State
363LN0000X
Neonatal Nurse Practitioner
Primary
CNP161045
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1891069654
—
ME
Enumeration date
02/26/2012
Last updated
04/08/2020
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