NPI 1356783609 · live from the CMS NPI Registry
Bonnie Case, FNP
Nurse Practitioner, Family in Brewer, ME. National Provider Identifier 1356783609, active.
NPI record
| NPI | 1356783609 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Nurse Practitioner, Family 363LF0000X |
| Practice location | 735 Wilson St, Brewer, ME 04412 |
| Practice phone | 207-989-1567 |
| Mailing address | Po Box 1599, Bangor, ME 04402 |
| Enumerated | July 26, 2013 |
| Last updated | December 1, 2016 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse, General Practice | 163WG0000X | RN60902 (ME) |
| Nurse Practitioner, Family primary | 363LF0000X | CNP131074 (ME) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.