Healthcare Provider Details

I. General information

NPI: 1841907607
Provider Name (Legal Business Name): JULIANNA B ANDERSON MSN, APRN, FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/01/2022
Last Update Date: 09/16/2026
Certification Date: 09/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11 ACADEMY RD
MONMOUTH ME
04259-7035
US

IV. Provider business mailing address

180 CHURCH HILL RD STE 1
LEEDS ME
04263-3418
US

V. Phone/Fax

Practice location:
  • Phone: 207-955-5800
  • Fax: 207-931-1267
Mailing address:
  • Phone: 207-955-5800
  • Fax: 207-931-2459

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberCNP241290
License Number StateME

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: