Individual provider · Type 1 NPI

Amy Wilson, FNP-BC

Family Nurse Practitioner · Portland, ME

NPI number 1689345902 Active

Practice location

180 Park Ave Ste 1
Portland, ME 04102-2927

Fax (207) 874-2164

Mailing address

180 Park Ave
Portland, ME 04102-2957

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000XCNP211446 (ME)

Family Nurse Practitioner: Definition to come...

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About NPI 1689345902

Amy Wilson, FNP-BC's National Provider Identifier is 1689345902, issued on Sep 27, 2021. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Portland, ME. The record was last updated on Jun 2, 2026.