Bergeron, Amy

Bergeron, Amy is an individual health care provider with primary practice located at 190 Stetson Rd , Auburn ME 04210-7813. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Bergeron, Amy can be contacted via phone (207) 784-7388.

Contact Information

Primary practice address
190 Stetson Rd Auburn ME 04210-7813
Phone: (207) 784-7388
Fax: (207) 795-2043
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X CNP81508 Maine
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X AP081508 Maine

Profile Details

NPI number 1417944455
LBN Legal business name Bergeron, Amy
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 4th, 2005
Last updated Mar 28th, 2024 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1417944455 NPPES
Maine MEDICAID 266180099

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