Individual
MOLLIE LEE BRAUN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MOLLIE BRAUN APRN
Contact information
Practice address
489 WHITNEY AVE, 3RD FLOOR, HOLYOKE, MA 01040-2711
(413) 532-6777
(413) 532-6744
Mailing address
132 BRICKYARD RD, SOUTHAMPTON, MA 01073-9525
(413) 529-9412
Taxonomy
Speciality
Code
Description
License number
State
364SP0809X
Adult Psychiatric/Mental Health Clinical Nurse Specialist
Primary
75897PC
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1859978
MASSHEALTH QMB
MA
01
—
PN0807
BCBSMA
MA
Enumeration date
12/29/2006
Last updated
07/09/2007
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