Healthcare Provider Details

I. General information

NPI: 1285625673
Provider Name (Legal Business Name): JANICE DORIS SUNDNAS NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/03/2005
Last Update Date: 09/12/2024
Certification Date: 09/12/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

543 NORTH ST
NEW BEDFORD MA
02740-2782
US

IV. Provider business mailing address

200 MILL RD STE 180
FAIRHAVEN MA
02719-5255
US

V. Phone/Fax

Practice location:
  • Phone: 508-973-2208
  • Fax: 508-973-1225
Mailing address:
  • Phone: 508-973-2000
  • Fax: 508-973-2001

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LX0001X
TaxonomyObstetrics & Gynecology Nurse Practitioner
License NumberRN244451
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: