NPI 1770533713 · live from the CMS NPI Registry
Amy L. Barraclough, PA-C
Physician Assistant in Portland, ME. National Provider Identifier 1770533713, active.
NPI record
| NPI | 1770533713 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Physician Assistant 363A00000X |
| Practice location | 22 Bramhall St, Portland, ME 04102 |
| Practice phone | 207-662-2381 |
| Mailing address | 360 Us Highway 1 Byp Unit 102, Portsmouth, NH 03801 |
| Enumerated | May 11, 2006 |
| Last updated | November 14, 2023 |
| Sole proprietor | No |
| Other names | Amy Dennis |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physician Assistant | 363A00000X | 1238 (WI) |
| Physician Assistant primary | 363A00000X | 1980 (ME) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.