Individual
HOLLY LEE LYBARGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
50 SUMMER ST, MILLINOCKET, ME 04462-1400
(207) 538-3700
(207) 528-2880
Mailing address
529 S PATTEN RD, PATTEN, ME 04765-3007
(207) 538-3700
(207) 528-2880
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
CNP81948
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000827693
ANTHEM - RPA
—
05
—
201167370
—
IN
01
—
APN-0992639-NP
MEDICAL LICENSE
CO
Enumeration date
08/12/2008
Last updated
08/01/2023
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