Grissom, Amber Nicole

Grissom, Amber Nicole is an individual health care provider with primary practice located at 302 Husson Ave Ste 1 , Bangor ME 04401-3373. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Primary Care, which is considered as her primary health care specialty. Grissom, Amber Nicole can be contacted via phone (207) 947-6141.

Contact Information

Primary practice address
302 Husson Ave Ste 1 Bangor ME 04401-3373
Phone: (207) 947-6141
Fax: (207) 947-6720
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Primary Care 363LP2300X CNP201287 Maine

Profile Details

NPI number 1689177867
LBN Legal business name Grissom, Amber Nicole
Credentials DNP, AGNP-C
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 14th, 2018
Last updated Nov 11th, 2020 - about 4 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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