Provider Demographics
NPI:1386212124
Name:DAMBOISE, APRIL JEAN (CNP)
Entity Type:Individual
Prefix:MS
First Name:APRIL
Middle Name:JEAN
Last Name:DAMBOISE
Suffix:
Gender:F
Credentials:CNP
Other - Prefix:
Other - First Name:APRIL
Other - Middle Name:JEAN
Other - Last Name:SOOKMA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:627 SABATTUS ST
Mailing Address - Street 2:
Mailing Address - City:LEWISTON
Mailing Address - State:ME
Mailing Address - Zip Code:04240-4121
Mailing Address - Country:US
Mailing Address - Phone:207-485-1941
Mailing Address - Fax:
Practice Address - Street 1:442 CIVIC CENTER DR STE 500
Practice Address - Street 2:
Practice Address - City:AUGUSTA
Practice Address - State:ME
Practice Address - Zip Code:04330-8574
Practice Address - Country:US
Practice Address - Phone:207-624-4800
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-06-17
Last Update Date:2021-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MECNP211173363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily