IndividualActive
Amy Stafford, RN
NPI 1013646512 · Clinical Nurse Specialist · Portland, ME
Provider details
- NPI number
- 1013646512
- Entity type
- Individual
- Primary specialty
- Clinical Nurse SpecialistPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- RN
- Sex
- Female
- Sole proprietor
- No
- License
- CNS204003 (ME)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
22 Bramhall St Bldg Room1147
Portland, ME 04102-3175
Phone: (207) 662-6773
Approximate (ZIP-level) locationGet directions
Mailing address
72 Munjoy St Apt 1
Portland, ME 04101-2096
Registry dates
- Enumerated
- 2022-06-09
- Last updated
- 2022-06-09
- Certified
- 2022-06-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.