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Andrew Fonderlin, RN — NPI 1831941392, Portland, ME | NPI Central

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NPI 1831941392

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Andrew Fonderlin, RN

NPI 1831941392 · Certified Registered Nurse Anesthetist · Portland, ME

Provider details

NPI number: 1831941392
Entity type: Individual
Primary specialty: Certified Registered Nurse AnesthetistPhysician Assistants & Advanced Practice Nursing Providers
Credential: RN
Sex: Male
Sole proprietor: No
License: RN.459526 (OH)

Specialties & taxonomies

Certified Registered Nurse AnesthetistPrimary367500000XLicense RNA243055 (ME)
Physician Assistants & Advanced Practice Nursing Providers
Registered Nurse163W00000XLicense RN.459526 (OH)
Nursing Service Providers

Practice location

22 Bramhall St

Portland, ME 04102-3175

Phone: (207) 662-0111

Approximate (ZIP-level) locationGet directions

More ME providers

Mailing address

52 Hanover St Unit 604

Portland, ME 04101-5942

Additional practice locations (1)

9500 Euclid Ave
Cleveland, OH 44195-0002
Phone: (216) 444-2200

Registry dates

Enumerated: 2024-04-05
Last updated: 2024-08-05
Certified: 2024-07-30

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.