Surprise, Kristy M
Surprise, Kristy M is an individual health care provider with primary practice located at One Medical Center Drive , Biddeford ME 04005. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Adult Health. Physician Assistants & Advanced Practice Nursing Providers / Adult Health is her primary health care specialty. Surprise, Kristy M can be contacted via phone (207) 283-7000.Contact Information
Primary practice address
One Medical Center Drive
Biddeford ME 04005
Phone: (207) 283-7000
Fax: (207) 283-7275
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | CNP81940 | Maine |
| Physician Assistants & Advanced Practice Nursing Providers / Adult Health | 363LA2200X | CNP81940 | Maine |
Profile Details
| NPI number | 1952559908 |
|---|---|
| LBN Legal business name | Surprise, Kristy M |
| Credentials | Adult Nurse Practitioner (ANP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 3rd, 2008 |
| Last updated | Apr 16th, 2019 - about 7 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1952559908 | NPPES |
| New Hampshire | MEDICAID | 30347565 | |
| New Hampshire | MEDICAID | 433351099 |
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