Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Anna Nicole Mininni, AGACNP

Individual provider Registered Nurse · NPI 1548059983

Anna Nicole Mininni, AGACNP is a Nurse Practitioner in Portland, Maine. Qualified in 2025, 1 year ago. Licensed in Maine.

Years since qualifying
1
Licensed in
ME
In the registry since
2025
Specialties on file
4
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Practice location Address checks out

22 Bramhall St
Portland, ME 04102-3134
Phone: (207) 662-2414
Fax: (207) 662-6038
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Acute Care Nurse Practitioner (primary) Taxonomy 363LA2100X · Licence CNP251320 (ME)
Registered Nurse Taxonomy 163W00000X · Licence RN73534 (ME)
Nurse Practitioner Taxonomy 363L00000X · Licence CNP251320 (ME)
Gerontology Nurse Practitioner Taxonomy 363LG0600X · Licence CNP251320 (ME)

Record details

NPI number1548059983
Entity typeIndividual (Type 1)
GenderFemale
Credentials AGACNP
Sole proprietorNo
NPI enumeratedMay 2, 2025
Last updated in NPPESJune 24, 2025
Certification dateJune 24, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Accepts Medicare assignment Not indicated

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