George L Case, FNPC

Individual provider Active NPI Family Nurse Practitioner · Brewer, ME

NPI 1174530356 · NPPES record last updated Mar 16, 2023

Key facts

NPI
1174530356
Entity type
Individual (NPI type 1)
Primary specialty
Family Nurse Practitioner 363LF0000X
License
CNP81542 (ME)
Practice address
735 Wilson St
Brewer, ME 04412-1000
Phone
(207) 989-1567
Fax
(207) 989-2286
NPI assigned
Aug 1, 2006
Sex
Male
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
CNP81542MEMDFamily Nurse Practitioner

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X CNP81542 ME Yes

Addresses

Primary practice location

735 Wilson St
Brewer, ME 04412-1000

Mailing address

PO Box 1599
Bangor, ME 04402-1599
Phone (207) 945-5247

Other providers in Brewer, ME

All providers in Brewer, ME · Family Nurse Practitioner in Maine

Sources for this page

Verify at the official NPI Registry.