DR. AMBER NICOLE GRISSOM


Address: 302 Husson Ave Ste 1, Bangor, ME 04401-3373
Phone: 2079476141

DR. AMBER NICOLE GRISSOM (NPI# 1689177867) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1689177867
Entity Type Individual
Full Name DR. AMBER NICOLE GRISSOM
Other Name DR. AMBER NICOLE PRICE
Credential DNP, AGNP-C
Practice Address 302 Husson Ave Ste 1
Bangor
ME 04401-3373
Mailing Address 44 Whiting Hill Rd
Suite 300
Brewer
ME 04412
Practice Telephone 2079476141
Practice Fax Number 2079476720
Mailing Telephone 2079735000
Mailing Fax Number 2079735042
Enumeration Date 2018-03-14
Last Update Date 2020-11-09
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LP2300X Nurse Practitioner
Specialization: Primary Care
CNP201287 ME Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 302 HUSSON AVE STE 1
City BANGOR
State ME
Zip Code 04401-3373

Providers in the same location

NPI Name Taxonomy Address Enumeration
1649603093 Kendra Lynn Look Nurse Practitioner 302 Husson Ave Ste 1, Bangor, ME 04401-3373 2013-08-20
1730732264 Kymberly Susan Hunter Internal Medicine 302 Husson Ave Ste 1, Bangor, ME 04401-3373 2019-07-23
1124527460 Dina Lea Cole Family Medicine 302 Husson Ave Ste 1, Bangor, ME 04401-3373 2018-02-01

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1184222523 Bj's Wholesale Club Inc. Eyewear Supplier (Equipment, not the service) 110 Longview Dr, Bangor, ME 04401 2020-10-16
1033737937 Daniel John Phulman Counselor 202 Exchange Street, Bangor, ME 04401 2020-07-08
1770104358 Elizabeth Sarah Caruson Physician Assistant 417 State Street Webber Medical Building, East St, Ste. 121, Bangor, ME 04401 2020-05-05
1053961300 Erika Dean Occupational Therapist 84 Sylvan Rd., Bangor, ME 04401 2019-09-18
1942853635 Wildworks Therapy, Pllc Occupational Therapist 123 Mt Hope Ave, Bangor, ME 04401 2019-07-22
1255999173 Jessica Arbisi Physician Assistant 1 Northeast Drive, Bangor, ME 04401 2019-06-05
1699232041 Ehab Khamis Elhefnawi Anesthesiology Emmc Anesthesia Professional Service, 489 State Street, Bangor, ME 04401 2019-02-21
1477028884 Zvorufura Makura Otolaryngology 885 Union Street, Ste 145, Bangor, ME 04401 2018-10-11
1255826541 Lindsey M Fields Optometrist 955 Broadway Eye Center Northeast Dba Northeast Eyecare, Bangor, ME 04401 2018-06-28
1992211338 Debra J Mcintyre Counselor 157 Park Street, #5, Bangor, ME 04401 2017-12-21
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Taxonomy Information

Taxonomy Code 363LP2300X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Primary Care

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1891185765 Teresa Ansinn Nurse Practitioner 50 Industrial Park Rd, Bangor, MI 49013 2015-01-30
1871909622 Regina Ann Blauvelt Nurse Practitioner 302 Husson Ave, Suite 1, Bangor, ME 04401-3374 2014-07-01

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1407240930 Housecall4u Nurse Practitioner 347 N Bend Rd, Surry, ME 04684-3309 2015-03-23
1427060847 Cathy A Bradley Nurse Practitioner 521 Main Street, Presque Isle, ME 04769 2006-08-13
1467469841 Patricia Thompson Leavitt Nurse Practitioner 1013 Narragansett Trl, Buxton, ME 04093-6607 2006-08-01
1366051666 Lindsey Desrosier Nurse Practitioner 4 Main St, Van Buren, ME 04785-1009 2020-07-23
1255957007 Kathryn Raymond Nurse Practitioner 23 North St, Presque Isle, ME 04769-2291 2020-06-17
1790319457 Eric K Shoaps Nurse Practitioner 70 Main St, Porter, ME 04068-3527 2020-03-02
1528609567 Brandon Woodman Howlett Nurse Practitioner 23 North St, Presque Isle, ME 04769-2291 2019-10-01
1831751510 Miriah Lee Deveau Nurse Practitioner 1 Va Ctr, Augusta, ME 04330-6719 2019-07-02
1326506395 Christopher Curtis King Nurse Practitioner 29 Bowdoin St, Manchester, ME 04351-3554 2019-03-07
1992277008 Gem Health & Wellness Nurse Practitioner 169 Ocean St Ste 104, South Portland, ME 04106-3636 2018-12-31
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Competitor

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City BANGOR
Zip Code 04401

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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