Individual provider · Type 1 NPI
Amber Nicole Grissom, DNP, AGNP-C
Primary Care Nurse Practitioner · Bangor, ME
NPI number
1689177867
Active
Practice location
689 Broadway
Bangor, ME 04401-3366
Fax (207) 744-8425
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Primary Care Nurse Practitioner Primary | 363LP2300X | CNP201287 (ME) |
Primary Care Nurse Practitioner: Definition to come...
5 other providers at this address
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- Anne M. Gaspar, FNPFamily Nurse Practitioner Bangor, ME NPI 1033846696
- Raghu Nandan Kanumalla, DOFamily Medicine Physician Bangor, ME NPI 1497313696
- Sarah Jean Crane, DOFamily Medicine Physician Bangor, ME NPI 1083913735
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About NPI 1689177867
Amber Nicole Grissom, DNP, AGNP-C's National Provider Identifier is 1689177867, issued on Mar 14, 2018. The primary taxonomy on file is Primary Care Nurse Practitioner (363LP2300X), and the practice location is in Bangor, ME. The record was last updated on Nov 10, 2025.