Individual
KELLY BRAGG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP
Contact information
Practice address
8 S MAIN ST, MADISON, ME 04950-4501
(207) 696-3992
(207) 696-3974
Mailing address
PO BOX 569, RANGELEY, ME 04970-0569
(207) 864-2699
(207) 864-2969
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
RN66178
ME
Other
Enumeration date
07/26/2018
Last updated
07/26/2018
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