Individual
BONNIE CASE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
735 WILSON ST, BREWER, ME 04412-1000
(207) 989-1567
Mailing address
PO BOX 1599, BANGOR, ME 04402-1599
(207) 945-5247
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
RN60902
ME
363LF0000X
Family Nurse Practitioner
Primary
CNP131074
ME
Other
Enumeration date
07/26/2013
Last updated
12/01/2016
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