Individual provider · Type 1 NPI

Amy L. Liston, ANP

Psychiatric/Mental Health Nurse Practitioner · Portland, ME

NPI number 1437242013 Active

Practice location

22 Bramhall Street
Portland, ME 04102

Fax (207) 662-6783

Mailing address

19 Norwood Street
Portland, ME 04103

Specialties and licenses

TaxonomyCodeLicense
Psychiatric/Mental Health Nurse Practitioner Primary 363LP0808XR041892 (ME)

Psychiatric/Mental Health Nurse Practitioner: Definition to come...

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About NPI 1437242013

Amy L. Liston, ANP's National Provider Identifier is 1437242013, issued on Oct 2, 2006. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Portland, ME. The record was last updated on Nov 21, 2008.