AMY L LISTON

PORTLAND, ME
NPI1437242013
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: ME  R041892)
Enumeration Date2006-10-02
Last Update Date2008-11-21
Business Address
Ms. AMY L LISTON ANP
22 BRAMHALL STREET
PORTLAND, ME 04102
Phone number: 207-662-4380
Mailing Address
Ms. AMY L LISTON ANP
19 NORWOOD STREET
PORTLAND, ME 04103
Phone number:
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