Most Relevant Information
Provider Data
| NPI Number: | 1003050758 |
| Provider Name: | JAMES EDWARD BRANTLEY LPN |
| Entity Type: | Individual |
| Taxonomy Code: | 164W00000X |
| Specialty: | Licensed Practical Nurse |
| License Number: | 260304 |
Most Important Dates
| Enumeration Date: | 04/25/2009 |
| Last Updated: | 04/25/2009 |
Provider Practice Location
5 HOB ST
NEWBURGH
NY
125506608
Practice Location Phone/Fax
| Phone: | 8457642614 |
| Fax: |
Provider Mailing Location
5 HOB ST
NEWBURGH
NY
125506608
Provider Mailing Phone/Fax
| Phone: | 8457642614 |
| Fax: |