IndividualActive
Amy Wilson, FNP-BC
NPI 1689345902 · Family Nurse Practitioner · Portland, ME
Provider details
- NPI number
- 1689345902
- Entity type
- Individual
- Primary specialty
- Family Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- FNP-BC
- Sex
- Female
- Sole proprietor
- Yes
- License
- CNP211446 (ME)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
180 Park Ave Ste 1
Portland, ME 04102-2927
Phone: (207) 874-2141
Fax: (207) 874-2164
Approximate (ZIP-level) locationGet directions
Mailing address
180 Park Ave
Portland, ME 04102-2957
Registry dates
- Enumerated
- 2021-09-27
- Last updated
- 2026-06-02
- Certified
- 2026-06-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.