IndividualActive
Amanda Rautenberg
NPI 1972033421 · Medical Physician Assistant · Bangor, ME
Provider details
- NPI number
- 1972033421
- Entity type
- Individual
- Primary specialty
- Medical Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Sex
- Female
- Sole proprietor
- No
- License
- PA1710 (ME)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
1 Northeast Dr
Bangor, ME 04401-4332
Phone: (207) 275-3800
Fax: (207) 275-3836
Approximate (ZIP-level) locationGet directions
Mailing address
43 Whiting Hill Rd Ste 300
Brewer, ME 04412-1006
Additional practice locations (1)
- 140 Academy StPresque Isle, ME 04769-3102Phone: (207) 768-4000
Registry dates
- Enumerated
- 2017-06-18
- Last updated
- 2022-11-17
- Certified
- 2022-11-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.