Individual
AMY E BONVILLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
575 MAIN ST, GORHAM, ME 04038-2623
(207) 839-2559
(207) 523-1135
Mailing address
PO BOX 9746, PORTLAND, ME 04104-5040
(207) 791-3888
(207) 828-7850
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
CNP121017
ME
Other
Enumeration date
10/01/2012
Last updated
01/22/2016
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