Provider Demographics
NPI:1609378009
Name:CARDURNS, CHASE ED (PMH-NP)
Entity Type:Individual
Prefix:
First Name:CHASE
Middle Name:ED
Last Name:CARDURNS
Suffix:
Gender:M
Credentials:PMH-NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1960
Mailing Address - Street 2:
Mailing Address - City:BANGOR
Mailing Address - State:ME
Mailing Address - Zip Code:04402-1960
Mailing Address - Country:US
Mailing Address - Phone:207-370-5049
Mailing Address - Fax:207-888-1033
Practice Address - Street 1:73 HAMMOND ST
Practice Address - Street 2:
Practice Address - City:BANGOR
Practice Address - State:ME
Practice Address - Zip Code:04401-4957
Practice Address - Country:US
Practice Address - Phone:207-530-8090
Practice Address - Fax:207-888-1033
Is Sole Proprietor?:No
Enumeration Date:2018-03-02
Last Update Date:2023-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MECNP181040363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
MECNP181040OtherMAINE STATE BOARD OF NURSING