Provider Demographics
NPI:1790994887
Name:APT-BRACKETT, ANNIE M (RN)
Entity Type:Individual
Prefix:MS
First Name:ANNIE
Middle Name:M
Last Name:APT-BRACKETT
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:30 POSU LANE
Mailing Address - Street 2:
Mailing Address - City:PERRY
Mailing Address - State:ME
Mailing Address - Zip Code:04667
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:PLEASANT POINT HEALTH CENTER
Practice Address - Street 2:11 BACK ROAD
Practice Address - City:PERRY
Practice Address - State:ME
Practice Address - Zip Code:04667
Practice Address - Country:US
Practice Address - Phone:207-853-0644
Practice Address - Fax:207-853-6230
Is Sole Proprietor?:No
Enumeration Date:2007-05-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MER041864163WP2201X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WP2201XNursing Service ProvidersRegistered NurseAmbulatory Care