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General NPI Number Information
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NPI Number | 1467518787
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Entity Type | Individual
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Provider Name | MOLLIE LEE BRAUN MOLLIE BRAUN APRN
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Gender | Female
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Dates
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Enumeration Date | 12/29/2006
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Last Update Date | 07/09/2007
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Provider Practice Location Address
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Address Line | 489 WHITNEY AVE 3RD FLOOR
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City | HOLYOKE
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State | MA
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Zip | 01040-2711
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Country | US
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Telephone | 413-532-6777
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Fax | 413-532-6744
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Provider Business Mailing Address
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Address Line | 132 BRICKYARD RD
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City | SOUTHAMPTON
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State | MA
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Zip | 01073-9525
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Country | US
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Telephone | 413-529-9412
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 364SP0809X
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Taxonomy Name | Adult Psychiatric/Mental Health Clinical Nurse Specialist
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License Number | 75897PC
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License Number State | MA
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