ANDREA SAMANTHA DARK - NPI 1760349708 - Student in an Organized Health Care Education/Training Program in Portland, ME

Q: What is the provider's specialty?

The provider's specialty is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

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About Andrea Samantha Dark NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ANDREA SAMANTHA DARK (NPI 1760349708) is an individual student in an organized health care education/training program in Portland, Maine and active in the NPI registry since January 2026.

NPPES Registry Identity

NPI1760349708

Entity TypeIndividualFemale

Primary Taxonomy390200000X

Provider Legal NameANDREA SAMANTHA DARK

Location Address716 STEVENS AVEPortland, ME 04103-2656

Mailing Address716 Stevens AvePortland, ME 04103-2656 · (207) 221-4529

Phone(207) 221-4529

Sole ProprietorYes

Enumeration DateJanuary 9, 2026

NPPES CertifiedJanuary 9, 2026

✔ NPI 1760349708 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

716 STEVENS AVE, Portland, ME 04103

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