Theriault, Amanda Ann

Theriault, Amanda Ann is an individual health care provider with primary practice located at 417 State St Ste 321 , Bangor ME 04401-6638. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Adult Health, which is considered as her primary health care specialty. Theriault, Amanda Ann can be contacted via phone (207) 973-8833.

Contact Information

Primary practice address

417 State St Ste 321 Bangor ME 04401-6638

Phone: (207) 973-8833

Fax:

Website:

Map and Directions

Health care specialties

Specialty	Code	License #	State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health	363LA2200X	CNP221315	Maine

Profile Details

NPI number	1548997521
LBN Legal business name	Theriault, Amanda Ann
Credentials	APRN-CNP
Entity	Individual
Sole proprietor ¹	No
Enumeration date	Aug 1st, 2022
Last updated	Aug 1st, 2022 - about 3 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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