Wyman Smith, Andrea
Wyman Smith, Andrea is an individual health care provider with primary practice located at 22 Bramhall St , Portland ME 04102-3134. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Acute Care, which is considered as her primary health care specialty. Wyman Smith, Andrea can be contacted via phone (207) 661-3580.Contact Information
Primary practice address
22 Bramhall St
Portland ME 04102-3134
Phone: (207) 661-3580
Fax: (207) 662-3419
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Acute Care | 363LA2100X | 431191 | New York |
| Physician Assistants & Advanced Practice Nursing Providers / Acute Care | 363LA2100X | CNP201044 | Maine |
Profile Details
| NPI number | 1932610599 |
|---|---|
| LBN Legal business name | Wyman Smith, Andrea |
| Credentials | AGACNP |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 22nd, 2017 |
| Last updated | Jul 22nd, 2026 - about 3 months 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1932610599 | NPPES |
| New York | Other | 431191 | NP LICENSE |
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