Dahlgren, Amanda

Dahlgren, Amanda is an individual health care provider with primary practice located at 1420 Main St , Sanford ME 04073-3680. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Student, Health Care / Student in an Organized Health Care Education/Training Program. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Dahlgren, Amanda can be contacted via phone (207) 850-5744.

Contact Information

Primary practice address
1420 Main St Sanford ME 04073-3680
Phone: (207) 850-5744
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 090946-23 New Hampshire
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X CNP231098 Maine

Profile Details

NPI number 1720693138
LBN Legal business name Dahlgren, Amanda
Credentials FNP-C
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 11th, 2020
Last updated Nov 15th, 2023 - about last year

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 1720693138 NPPES
Maine Other RN72395 MAINE STATE BOARD OF NURSING
Maine Other 090946-23 MAINE STATE BOARD OF NURSING
Maine Other CNP231098 MAINE STATE BOARD OF NURSING

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