Ashley Rose Anderson, PA-C
Physician Assistant in Portland, ME. Individual provider (NPI-1).
NPI number1093352718
StatusActive
Last updated in NPPESSep 16, 2020
Details
- NPI
- 1093352718
- Entity type
- Individual (NPI-1)
- Name
- Ashley Rose Anderson
- Credential
- PA-C
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Dec 1, 2019
- Certification date
- Sep 16, 2020
- Last updated
- Sep 16, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | – | – | Yes |
Practice location
66 Bramhall St Ste G1Portland, ME 04102-3344
Phone 207-662-2847
Mailing address
66 Bramhall St Ste G1Portland, ME 04102-3344
Phone 603-339-2623
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