Individual
ELIZABETH KASNY SUNDBORG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
1 HARNOIS AVE STE 2A, WESTBROOK, ME 04092-4395
(207) 661-3400
(207) 661-3401
Mailing address
190 RIVERSIDE ST UNIT 6B, PORTLAND, ME 04103-1073
(207) 661-2000
(207) 661-2033
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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