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Individual

DR. MERRY A BRANTLEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
AUD

Contact information

Practice address
ONE AYRES CIRCLE, BUILDING H-1, PORTSMOUTH NAVAL SHIPYD, NAVAL HEALTH CARE NEW ENGLAND, BRANCH CLINIC, PORTSMOUTH, NH 03804-5000
(207) 438-2081
(207) 438-1754
Mailing address
ONE AYRES CIRCLE, BUILDING H-1, PORTSMOUTH NAVAL SHIPYD, NAVAL HEALTH CARE NEW ENGLAND, BRANCH CLINIC, PORTSMOUTH, NH 03804-5000
(207) 438-2081
(207) 438-1754

Taxonomy

Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
A404
NH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
020473740
HUMANA CHOICE CARE
NH
01
2512656
AETNA
NH
01
2924917
CIGNA
NH
05
30432258
NH
01
640004535
RAILROAD MEDICARE
NH
01
73Y002891NH01
ANTHEM
NH
01
AA14036
HARVARD PILGRIM
NH
Enumeration date
04/26/2006
Last updated
10/30/2008
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