Individual
MRS. CARMEN JEAN VAN DUSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
417 STATE ST, SUITE 330, BANGOR, ME 04401-6630
(207) 973-9070
Mailing address
43 WHITING HILL RD, SUITE 300, BREWER, ME 04412-1005
(207) 973-4011
(207) 973-4832
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
CNP161127
ME
Other
Enumeration date
10/24/2016
Last updated
11/21/2016
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