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Contact Information

TANIQUE L CUNDIFF, CRNA
33 SEWALL ST
PORTLAND, ME04102
 Phone: 207-828-2100
 Fax: 207-828-2190
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Nurse Anesthetist, Certified Registered

367500000X 43 Certified Registered Nurse Anesthetist (CRNA)
Indicates primary specialty

NPI Profile & details for TANIQUE L CUNDIFF · (Female)

NPI # 1417103896
Status Active
Credentials CRNA (Certified Registered Nurse Anesthetist)
Entity Individual
Enumeration date 08/17/2008
Last updated 04/09/2019 - About 7 years ago
Sole proprietor 1 No
Identifiers
  • ME License # RNA133016
  • NC Medicaid 8053360
Hospital affiliation(s)
  • SOIN MEDICAL CENTER,INDU & RAJ SOIN MEDICAL CENTER - (Acute Care)
    3535 PENTAGON PARK BLVD
    BEAVER CREEK, OH 45431
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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