Individual
MRS. HOLLY BRUNNER JAMES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
127 LONG SANDS RD, SUITE 11, YORK, ME 03909-1158
(207) 363-8430
(207) 351-3006
Mailing address
127 LONG SANDS RD, SUITE 11, YORK, ME 03909
(207) 363-8430
(207) 351-3006
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
041268
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
010467585
MACHIGONNE
—
01
—
041288
ANTHEM BCBS
—
01
—
318710099
PRIMECARE MEDICAID
—
05
—
318710099
—
ME
01
—
40Y003456ME01
ANTHEM BCBS NEW HAMPSHIRE
NH
01
—
500022130
RAILROAD MEDICARE
—
01
—
7525795
CIGNA HEALTHCARE
—
01
—
P17412
HARVARD PILGRIM
—
Enumeration date
04/08/2006
Last updated
05/03/2011
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