Individual provider · Type 1 NPI
Amie Fagan, PMHNP
Psychiatric/Mental Health Nurse Practitioner · Waterville, ME
NPI number
1114687480
Active
Practice location
149 North St
Waterville, ME 04901-4974
Fax (207) 861-5461
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | CNP211610 (ME) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1114687480
Amie Fagan, PMHNP's National Provider Identifier is 1114687480, issued on Dec 28, 2021. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Waterville, ME. The record was last updated on Dec 28, 2021.