Individual
AMY E ROUSSEAU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
96 CAMPUS AVE STE 214, LEWISTON ME, ME 04240-6019
(207) 330-3950
(207) 330-3955
Mailing address
PO BOX 7291, LEWISTON, ME 04243-7291
(207) 777-8950
(207) 777-8800
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
CNP201017
ME
Other
Enumeration date
05/04/2020
Last updated
05/04/2020
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