Most Relevant Information
Provider Data
| NPI Number: | 1003181298 |
| Provider Name: | ELIZABETH BURGESS HAWKSLEY CRNA |
| Entity Type: | Individual |
| Taxonomy Code: | 367500000X |
| Specialty: | Nurse Anesthetist, Certified Registered |
| License Number: | 100073 |
Most Important Dates
| Enumeration Date: | 03/20/2012 |
| Last Updated: | 01/11/2021 |
Provider Practice Location
123 MEDICAL CENTER DR
BRUNSWICK
ME
040112652
Practice Location Phone/Fax
| Phone: | 2073736000 |
| Fax: |
Provider Mailing Location
123 MEDICAL CENTER DR
BRUNSWICK
ME
040112652
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |