Individual
MRS. ANDREA MARIE SEWALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
34 GILMAN ROAD, BANGOR, ME 04401
(207) 941-8300
(207) 947-3134
Mailing address
34 GILMAN ROAD, CONCENTRA, BANGOR, ME 04401
(207) 941-8300
(207) 947-3134
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
CNP81858
ME
363LF0000X
Family Nurse Practitioner
R048968
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
200029
ANTHEM
ME
01
—
230301
NHIC
ME
05
—
432710199
—
ME
Enumeration date
07/30/2007
Last updated
11/17/2023
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