Individual
KRISTY M SURPRISE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ANP
Contact information
Practice address
ONE MEDICAL CENTER DRIVE, BIDDEFORD, ME 04005
(207) 283-7000
(207) 283-7275
Mailing address
ONE MEDICAL CENTER DRIVE, BIDDEFORD, ME 04005
(207) 283-7000
(207) 283-7275
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
CNP81940
ME
363LA2200X
Adult Health Nurse Practitioner
Primary
CNP81940
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30347565
—
NH
05
—
433351099
—
ME
Enumeration date
09/03/2008
Last updated
04/16/2019
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