IndividualActive
Amie Fagan, PMHNP
NPI 1114687480 · Psychiatric/Mental Health Nurse Practitioner · Waterville, ME
Provider details
- NPI number
- 1114687480
- Entity type
- Individual
- Primary specialty
- Psychiatric/Mental Health Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PMHNP
- Sex
- Female
- Sole proprietor
- No
- License
- CNP211610 (ME)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
149 North St
Waterville, ME 04901-4974
Phone: (207) 873-1098
Fax: (207) 861-5461
Approximate (ZIP-level) locationGet directions
Mailing address
149 North St
Waterville, ME 04901-4974
Registry dates
- Enumerated
- 2021-12-28
- Last updated
- 2021-12-28
- Certified
- 2021-12-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.