| Dr Amanda Myshele Canupp Matheny, DNP, APRN, FNP-BC | |
|
111 Ossipee Trl E Ste 1153, Standish, ME 04084-6421 | |
| (207) 661-4850 | |
| Not Available |
| Full Name | Dr Amanda Myshele Canupp Matheny |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 111 Ossipee Trl E Ste 1153, Standish, Maine |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285392217 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | CNP211483 (Maine) | Primary |
| 363LF0000X | Nurse Practitioner - Family | 086699-23 (New Hampshire) | Secondary |
| Entity Name | Portland Chiropractic Neurology, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1780856336 PECOS PAC ID: 1759427776 Enrollment ID: O20091006000158 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Amanda Myshele Canupp Matheny, DNP, APRN, FNP-BC 111 Ossipee Trl E Ste 1153, Standish, ME 04084-6421 Ph: (207) 661-4850 | Dr Amanda Myshele Canupp Matheny, DNP, APRN, FNP-BC 111 Ossipee Trl E Ste 1153, Standish, ME 04084-6421 Ph: (207) 661-4850 |
Mrs. Eleanor Murphy Dudek, CNP, PMHNP, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 24 Bonny Eagle Rd, Standish, ME 04084 Phone: 207-653-3199 Fax: 866-773-7540 | |
Nicole Chase, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 111 Ossipee Trl E, Suite 1142, Standish, ME 04084 Phone: 207-642-4434 Fax: 207-642-4439 |