Organization · Type 2 NPI

Independent Wound Care PLLC

Nurse Practitioner · Portland, ME

NPI number 1609752062 Active

Practice location

19 Brandon Street
Portland, ME 04103

Mailing address

91 Auburn St Ste J
Portland, ME 04103-6014

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000XNone listed

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

About NPI 1609752062

Independent Wound Care PLLC's National Provider Identifier is 1609752062, issued on Aug 12, 2025. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Portland, ME. The record was last updated on Aug 12, 2025.