Healthcare Provider Details

I. General information

NPI: 1386212124
Provider Name (Legal Business Name): APRIL JEAN DAMBOISE CNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: APRIL JEAN SOOKMA

II. Dates (important events)

Enumeration Date: 06/17/2021
Last Update Date: 04/22/2026
Certification Date: 04/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10 CARTER ST
EAGLE LAKE ME
04739-3060
US

IV. Provider business mailing address

PO BOX 309
EAGLE LAKE ME
04739-0309
US

V. Phone/Fax

Practice location:
  • Phone: 207-444-5973
  • Fax: 207-444-5520
Mailing address:
  • Phone: 207-444-5973
  • Fax: 207-444-5520

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberCNP211173
License Number StateME

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: