DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: COURTNEY IRENE MACCALLUM AGACNP

MEDICARE: COURTNEY IRENE MACCALLUM AGACNP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LG0600XGerontology Nurse PractitionerCNP251297ME
2363LA2100XAcute Care Nurse PractitionerCNP251297ME

General Provider Information

NPI Number : 1629966759
Entity Type Code : Individual
Provider Name (Legal Business Name) : COURTNEY IRENE MACCALLUM AGACNP
Provider Business Mailing Address
First Line : 887 CONGRESS ST STE 400
Second Line :
City : PORTLAND
State : ME
Zip : 04102-3163
Country : US
Telephone Number : 207-774-6368
Fax Number : 207-774-9388
Provider Business Practice Location Address
First Line : 887 CONGRESS ST STE 400
Second Line :
City : PORTLAND
State : ME
Zip : 04102-3163
Country : US
Telephone Number : 207-774-6368
Fax Number : 207-774-9388
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/26/2025
Last Update Date : 06/08/2026

Similar Medicare Providers

1689648487 — MICHELLE HOPKINS CARNES ANP
Practice Location Address:
887 CONGRESS ST STE 400
PORTLAND, ME
04102-3163
Practice Phone: 207-774-6368
Practice Fax: 207-774-9388
1396847794 — MARC LAFRANCE DEMERS MD
Practice Location Address:
887 CONGRESS ST STE 400
PORTLAND, ME
04102-3163
Practice Phone: 207-373-6000
Practice Fax:
1780874883 — KRISTINA A GILES-MAGNIFICO M.D.
Practice Location Address:
887 CONGRESS ST STE 400
PORTLAND, ME
04102-3163
Practice Phone: 207-774-6368
Practice Fax:
1164685749 — DR. KRISTINA WONG BERMAS MD
Practice Location Address:
887 CONGRESS ST STE 400
PORTLAND, ME
04102-3163
Practice Phone: 207-774-6368
Practice Fax: 207-774-9388
1174755524 — JULIE E SALVATELLI PA
Practice Location Address:
887 CONGRESS ST STE 400
PORTLAND, ME
04102-3163
Practice Phone: 207-774-6368
Practice Fax: 207-774-9388
1235464785 — MS. AMBER ERIN SCHAUB PA-C
Practice Location Address:
887 CONGRESS ST STE 400
PORTLAND, ME
04102-3163
Practice Phone: 207-774-6368
Practice Fax:

Directions to “ COURTNEY IRENE MACCALLUM AGACNP” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.