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Individual

ELIZABETH BURGESS HAWKSLEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNA

Contact information

Practice address
123 MEDICAL CENTER DR, BRUNSWICK, ME 04011-2652
(207) 373-6000
Mailing address
123 MEDICAL CENTER DR, BRUNSWICK, ME 04011-2652

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
100073
CO
367500000X
Certified Registered Nurse Anesthetist
Primary
RNA153020
ME

Other

Enumeration date
03/20/2012
Last updated
01/11/2021
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