Individual
ELIZABETH KASNY SUNDBORG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN55933
ME
207RP1001X
Pulmonary Disease Physician
CNP161061
ME
363LF0000X
Family Nurse Practitioner
Primary
CNP161061
ME
Other
Enumeration date
08/11/2016
Last updated
06/10/2019
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