Individual provider · Type 1 NPI
Anna Nicole Mininni, AGACNP
Acute Care Nurse Practitioner · Portland, ME
NPI number
1548059983
Active
Practice location
22 Bramhall St
Portland, ME 04102-3134
Fax (207) 662-6038
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse | 163W00000X | RN73534 (ME) |
| Nurse Practitioner | 363L00000X | CNP251320 (ME) |
| Gerontology Nurse Practitioner | 363LG0600X | CNP251320 (ME) |
| Acute Care Nurse Practitioner Primary | 363LA2100X | CNP251320 (ME) |
Acute Care Nurse Practitioner: Definition to come...
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About NPI 1548059983
Anna Nicole Mininni, AGACNP's National Provider Identifier is 1548059983, issued on May 2, 2025. The primary taxonomy on file is Acute Care Nurse Practitioner (363LA2100X), and the practice location is in Portland, ME. The record was last updated on Jun 24, 2025.