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Individual

MRS. HOLLY BRUNNER JAMES

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

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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