Amie Fagan, PMHNP
Nurse Practitioner, Psych/Mental Health in Waterville, Maine
1114687480- Practice location
- 149 North St, Waterville, ME 04901-4974
- Phone
- 207-873-1098
- Fax
- 207-861-5461
- Last updated
- December 28, 2021
Amie Fagan is a Nurse Practitioner, Psych/Mental Health based in Waterville, ME. Amie Fagan practices in Waterville, ME and has the professional credentials of PMHNP. The NPI Number for Amie Fagan is 1114687480 and holds a License No. CNP211610 (ME). The current practice location address for Amie Fagan is 149 North St, Waterville, ME 04901-4974 and can be reached out via phone at 207-873-1098 and via fax at 207-861-5461.
Provider Profile Details
- NPI Number
- 1114687480
- Provider Name
- Amie Fagan
- Credential
- PMHNP
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 149 North St, Waterville, ME 04901-4974
- Phone Number
- 207-873-1098
- Fax Number
- 207-861-5461
- Primary Taxonomy
- Nurse Practitioner, Psych/Mental Health · 363LP0808X
- Sole Proprietor
- No
- Provider Enumeration Date
- December 28, 2021
- Last Update Date
- December 28, 2021
- Certification Date
- December 28, 2021
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 149 North St
Waterville, ME 04901-4974 - City
- Waterville
- State
- Maine
- Zip
- 04901-4974
- Phone Number
- 207-873-1098
- Fax Number
- 207-861-5461
Provider Business Mailing Address Details
- Address
- 149 North St
Waterville, ME 04901-4974 - City
- Waterville
- State
- ME
- Zip
- 04901-4974
- Phone Number
- 207-873-1098
- Fax Number
- 207-861-5461
License Information
- License Number
- CNP211610
- License State
- ME
- Taxonomy
- Nurse Practitioner, Psych/Mental Health · 363LP0808X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Amie Fagan, PMHNP?
The NPI number of Amie Fagan, PMHNP is 1114687480. It was assigned on December 28, 2021 and is currently active in the NPPES registry.
What is the specialty of Amie Fagan, PMHNP?
Amie Fagan, PMHNP is registered under the primary taxonomy Nurse Practitioner, Psych/Mental Health (code 363LP0808X), licensed in ME under license number CNP211610.
Where does Amie Fagan, PMHNP practice?
The practice location is 149 North St, Waterville, ME 04901-4974. The office can be reached at 207-873-1098 (phone) or 207-861-5461 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1114687480 directly on the NPPES registry website.