Provider Demographics
NPI:1205038551
Name:SUNDSTROM, JOYCE A (RN CCM)
Entity Type:Individual
Prefix:MRS
First Name:JOYCE
Middle Name:A
Last Name:SUNDSTROM
Suffix:
Gender:F
Credentials:RN CCM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:44 EUSTIS AVE
Mailing Address - Street 2:
Mailing Address - City:WAKEFIELD
Mailing Address - State:MA
Mailing Address - Zip Code:01880-1547
Mailing Address - Country:US
Mailing Address - Phone:781-245-8482
Mailing Address - Fax:
Practice Address - Street 1:44 EUSTIS AVE
Practice Address - Street 2:
Practice Address - City:WAKEFIELD
Practice Address - State:MA
Practice Address - Zip Code:01880-1547
Practice Address - Country:US
Practice Address - Phone:781-245-8482
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-05-31
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA87785163WC0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WC0400XNursing Service ProvidersRegistered NurseCase Management