Woods, Amanda Gage

Woods, Amanda Gage is an sole proprietor health care provider with primary practice located at 22 Bramhall St , Portland ME 04102-3134. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Neonatal, which is considered as her primary health care specialty. Woods, Amanda Gage can be contacted via phone (207) 662-0324.

Contact Information

Primary practice address
22 Bramhall St Portland ME 04102-3134
Phone: (207) 662-0324
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Neonatal 363LN0000X CNP161045 Maine

Profile Details

NPI number 1891069654
LBN Legal business name Woods, Amanda Gage
Credentials NNP-BC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 26th, 2012
Last updated Apr 8th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1891069654 NPPES
Maine MEDICAID 1891069654

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