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).
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 |
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 |
Street Address |
302 HUSSON AVE STE 1 |
City | BANGOR |
State | ME |
Zip Code | 04401-3373 |
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 |
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 |
Find all providers in zip 04401 |
Taxonomy Code | 363LP2300X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Primary Care |
Definition to come... |
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 |
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 |
Find all providers with the same taxonomy |
Please comment or provide details below to improve the information on DR. AMBER NICOLE GRISSOM.
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.