Individual provider · NPI-1

Emily M Anderson, NP

Nurse Practitioner, Neonatal · Portland, ME

NPI number1952960171
StatusActive
Last updated in NPPESMar 1, 2023

Details

NPI
1952960171
Entity type
Individual (NPI-1)
Name
Emily M Anderson
Credential
NP
Sex
Female
Sole proprietor
No
Enumeration date
Jun 11, 2019
Certification date
Mar 1, 2023
Last updated
Mar 1, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363LN0000X Nurse Practitioner, NeonatalCNP221168MEYes
363LN0000X Nurse Practitioner, Neonatal28223297AIN
363LN0000X Nurse Practitioner, Neonatal71009174AIN

Practice location

175 Fore River Pkwy
Portland, ME 04102-2779

Phone 207-553-6300

Mailing address

Po Box 656
Portland, ME 04104-0656

Phone 207-741-1163

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