Healthcare Provider Details

I. General information

NPI: 1235043118
Provider Name (Legal Business Name): AMANDA CARRIER NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/29/2026
Last Update Date: 10/01/2026
Certification Date: 10/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

28 W COLE RD STE 105
BIDDEFORD ME
04005-9428
US

IV. Provider business mailing address

28 W COLE RD STE 105
BIDDEFORD ME
04005-9428
US

V. Phone/Fax

Practice location:
  • Phone: 207-741-1406
  • Fax:
Mailing address:
  • Phone: 207-251-0362
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP2300X
TaxonomyPrimary Care Nurse Practitioner
License NumberCNP251779
License Number StateME

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: