Individual
BRANDY BASQUE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
22 BRAMHALL ST, PORTLAND, ME 04102-3134
(207) 662-0111
Mailing address
181 JENKINS RD, SACO, ME 04072-9614
(570) 592-4650
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
RNA163002
ME
Other
Enumeration date
05/23/2016
Last updated
01/02/2023
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