Individual provider · Type 1 NPI

Courtney Irene Maccallum, AGACNP

Acute Care Nurse Practitioner · Portland, ME

NPI number 1629966759 Active

Practice location

887 Congress St Ste 400
Portland, ME 04102-3163

Fax (207) 774-9388

Other practice locations

  • 22 Bramhall St, Portland, ME 04102-3134 · (207) 662-0111

Specialties and licenses

TaxonomyCodeLicense
Gerontology Nurse Practitioner 363LG0600XCNP251297 (ME)
Acute Care Nurse Practitioner Primary 363LA2100XCNP251297 (ME)

Acute Care Nurse Practitioner: Definition to come...

15 other providers at this address

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About NPI 1629966759

Courtney Irene Maccallum, AGACNP's National Provider Identifier is 1629966759, issued on Jun 26, 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 8, 2026.