Abdulkadir, Amal

Abdulkadir, Amal is an individual health care provider with primary practice located at 93 Campus Ave , Lewiston ME 04240. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as her primary health care specialty. Abdulkadir, Amal can be contacted via phone (207) 777-8700.

Contact Information

Primary practice address
93 Campus Ave Lewiston ME 04240
Phone: (207) 777-8700
Fax: (207) 777-8826
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 2281356 Massachusetts
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X CMP191017 Maine

Profile Details

NPI number 1396937751
LBN Legal business name Abdulkadir, Amal
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 9th, 2007
Last updated Jul 23rd, 2019 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1396937751 NPPES
Massachusetts MEDICAID 110111365A

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