Provider Demographics
NPI:1336032283
Name:INTEGRATED OSTEOPOROSIS CLINIC
Entity type:Organization
Organization Name:INTEGRATED OSTEOPOROSIS CLINIC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:ELIZABETH
Authorized Official - Middle Name:MARY
Authorized Official - Last Name:DUKE
Authorized Official - Suffix:
Authorized Official - Credentials:FNP-C
Authorized Official - Phone:207-478-8508
Mailing Address - Street 1:700 MAIN ST STE 3
Mailing Address - Street 2:
Mailing Address - City:BANGOR
Mailing Address - State:ME
Mailing Address - Zip Code:04401-6800
Mailing Address - Country:US
Mailing Address - Phone:207-659-8366
Mailing Address - Fax:808-999-7636
Practice Address - Street 1:700 MAIN ST STE 3
Practice Address - Street 2:
Practice Address - City:BANGOR
Practice Address - State:ME
Practice Address - Zip Code:04401-6800
Practice Address - Country:US
Practice Address - Phone:207-659-8366
Practice Address - Fax:808-999-7636
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-05-30
Last Update Date:2025-05-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Single Specialty