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Individual

MRS. SUSAN BAILEY AMUNDSEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MSN, RN, APRN, ANPBC

Contact information

Practice address
34 GILMAN RD, BANGOR, ME 04401-3516
(207) 941-8300
Mailing address
39 WALTER PARTRIDGE RD, WINDHAM, ME 04062-4860
(207) 893-2075

Taxonomy

Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
AP091008
ME

Other

Enumeration date
07/15/2009
Last updated
07/15/2009
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