AMANDA MOON POULIN (RD,LD,CDE) – Registered Dietitian, NPI 1649291006

AMANDA MOON POULIN (RD,LD,CDE) is a healthcare provider. based in Bangor, Maine. specializing in Registered Dietitian. They hold the professional credentials RD,LD,CDE. They hold a License No. D1736 (ME). The NPI Number for AMANDA MOON POULIN (RD,LD,CDE) is 1649291006

Main info

Female
Sole Proprietor
Name
AMANDA MOON POULIN (RD,LD,CDE)
NPI
1649291006
Phone
(207) 097-3733
Address
905 UNION ST
Enumeration Date
21 July 2006
Last Update Date
8 July 2007
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

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Provider Addresses for AMANDA MOON POULIN (RD,LD,CDE)

  • 905, Union Street, Bangor, Penobscot County, Maine, 04401, United States

    SUITE 11

    BANGOR, ME 044013050

    Phone: (207) 097-3733

    Fax: (207) 973-7424

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

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Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 04401)

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Reviews

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Frequently asked questions

What federal number belongs to AMANDA MOON POULIN (RD,LD,CDE)?
The federal identifier for AMANDA MOON POULIN (RD,LD,CDE) is NPI 1649291006.
Is AMANDA MOON POULIN (RD,LD,CDE) currently active in the NPI registry?
CMS-published data lists AMANDA MOON POULIN (RD,LD,CDE) as an active registrant.
What does AMANDA MOON POULIN (RD,LD,CDE) treat or focus on?
Patients typically see AMANDA MOON POULIN (RD,LD,CDE) under the specialty Registered Dietitian. Clinical services aligned with this taxonomy classification.
What location shows for AMANDA MOON POULIN (RD,LD,CDE)?
We surface Bangor, Maine for AMANDA MOON POULIN (RD,LD,CDE) based on available NPPES addresses.
How can I contact AMANDA MOON POULIN (RD,LD,CDE)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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