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NPI Profile for Dr AMBER N GRISSOM in BANGOR, ME.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Primary Care |
363LP2300X | 50 | Nurse Practitioner |
| NPI Number | 1689177867 |
|
| Status | Active | |
| Credentials | DNP, AGNP-C | |
| Entity | Individual | |
| Enumeration date | 03/14/2018 | |
| Last updated | 11/10/2025 - About 7 months ago | |
| Sole proprietor 1 | No | |
| Identifiers |
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| Hospital affiliation(s) |
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AMBER N GRISSOM
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AMBER N GRISSOM, DNP, AGNP-C