Active NPIIndividual provider

Amy E Bonville, FNP

Nurse Practitioner, Family in Gorham, Maine

NPI Number1992056972
Practice location
575 Main St, Gorham, ME 04038-2623
Fax
207-523-1135
Last updated
January 22, 2016

Amy E Bonville is a Nurse Practitioner, Family based in Gorham, ME. Amy E Bonville practices in Gorham, ME and has the professional credentials of FNP. The NPI Number for Amy E Bonville is 1992056972 and holds a License No. CNP121017 (ME). The current practice location address for Amy E Bonville is 575 Main St, Gorham, ME 04038-2623 and can be reached out via phone at 207-839-2559 and via fax at 207-523-1135.

Provider Profile Details

NPI Number
1992056972
Provider Name
Amy E Bonville
Credential
FNP
Provider Entity Type
Individual
Gender
Female
Address
575 Main St, Gorham, ME 04038-2623
Phone Number
207-839-2559
Fax Number
207-523-1135
Primary Taxonomy
Nurse Practitioner, Family · 363LF0000X
Sole Proprietor
No
Provider Enumeration Date
October 1, 2012
Last Update Date
January 22, 2016
NPI Status
Active

Provider Business Practice Location Address Details

Address
575 Main St
Gorham, ME 04038-2623
City
Gorham
State
Maine
Zip
04038-2623
Phone Number
207-839-2559
Fax Number
207-523-1135
Gorham, ME 04038Get directions →

Provider Business Mailing Address Details

Address
Po Box 9746
Portland, ME 04104-5040
City
Portland
State
ME
Zip
04104-5040
Phone Number
207-791-3888
Fax Number
207-828-7850

License Information

License Number
CNP121017
License State
ME
Taxonomy
Nurse Practitioner, Family · 363LF0000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
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 Amy E Bonville, FNP?

The NPI number of Amy E Bonville, FNP is 1992056972. It was assigned on October 1, 2012 and is currently active in the NPPES registry.

What is the specialty of Amy E Bonville, FNP?

Amy E Bonville, FNP is registered under the primary taxonomy Nurse Practitioner, Family (code 363LF0000X), licensed in ME under license number CNP121017.

Where does Amy E Bonville, FNP practice?

The practice location is 575 Main St, Gorham, ME 04038-2623. The office can be reached at 207-839-2559 (phone) or 207-523-1135 (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 1992056972 directly on the NPPES registry website.

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