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Diane M Bray, APRN,BC
Psychiatric/Mental Health Clinical Nurse Specialist in Hartford, Connecticut
NPI 1073552865

Diane M Bray is a Psychiatric/Mental Health Clinical Nurse Specialist based in New Hartford, CT and is specialized in Psychiatric/Mental Health. Diane M Bray practices in Hartford, CT and has the professional credentials of APRN,BC. The NPI Number for Diane M Bray is 1073552865 and holds a License No. 000772 (Connecticut).

The current practice location address for Diane M Bray is 664 Prospect Ave, Hartford, CT and can be reached out via phone at 860-236-8087 and via fax at 860-586-7422.

Location: 664 Prospect Ave, Hartford, CT, 06057-2412
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Provider Profile Details
NPI Number
1073552865
Provider Name
Diane M Bray
Credential
APRN,BC
Provider Entity Type
Individual
Gender
Female
Address
664 Prospect Ave, Hartford, CT, 06057-2412
Phone Number
860-236-8087
Fax Number
860-586-7422
Provider Enumeration Date
06/06/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
4556305 01 CT AETNA
P1935240 01 CT OXFORD
188780 01 CT MHN
400000772-CT02 01 CT BLUE CROSS/ BLUE SHIELD
134533 01 CT VALUE OPTIONS
400000772-CT01 01 CT BLUE CROSS/ BLUE SHIELD
institution
Provider Business Practice Location Address Details
Address
664 Prospect Ave
City
State
Zip
06105-4203
Phone Number
860-236-8087
Fax Number
860-586-7422
person
Provider Business Mailing Address Details
Address
664 Prospect Ave
City
State
Zip
06105-4203
Phone Number
860-236-8087
Fax Number
860-586-7422
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Clinical Nurse Specialist
Speciality
Psychiatric/Mental Health
Taxonomy
License No.
000772 (Connecticut)
Definition
Definition to come...
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