Basic Information
| Provider Information | |||||||||
| NPI: | 1841718277 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | AMES | ||||||||
| FirstName: | BRITTANY | ||||||||
| MiddleName: | NICOLE | ||||||||
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| Credential: | MSN, APRN, FNP-C | ||||||||
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| Mailing Information | |||||||||
| Address1: | 111 NEW HAMPSHIRE AVE STE 2 | ||||||||
| Address2: | |||||||||
| City: | PORTSMOUTH | ||||||||
| State: | NH | ||||||||
| PostalCode: | 038012864 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6034106700 | ||||||||
| FaxNumber: | 6033198308 | ||||||||
| Practice Location | |||||||||
| Address1: | 1278 ROOSEVELT TRL | ||||||||
| Address2: | |||||||||
| City: | RAYMOND | ||||||||
| State: | ME | ||||||||
| PostalCode: | 040716604 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2076556181 | ||||||||
| FaxNumber: | 2076556188 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 09/06/2017 | ||||||||
| LastUpdateDate: | 10/27/2022 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 10/27/2022 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 363LF0000X | CNP171135 | ME | Y | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | Family |
No ID Information.