person
Mrs. Michelle A Brady, FNP
Family Nurse Practitioner in Rockford, Illinois
NPI 1396735379

Michelle A Brady is a Family Nurse Practitioner based in Rockford, IL and is specialized in Family. Michelle A Brady practices in Rockford, IL and has the professional credentials of FNP. The NPI Number for Michelle A Brady is 1396735379 and holds a License No. 209003868 (Illinois).

The current practice location address for Michelle A Brady is 1200 W State St, Rockford, IL and can be reached out via phone at 815-490-1600 and via fax at 815-490-1625.

Location: 1200 W State St, Rockford, IL, 61102-2112
person
Provider Profile Details
NPI Number
1396735379
Provider Name
Michelle A Brady
Credential
FNP
Provider Entity Type
Individual
Gender
Female
Address
1200 W State St, Rockford, IL, 61102-2112
Phone Number
815-490-1600
Fax Number
815-490-1625
Provider Enumeration Date
10/21/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
309001823 01 IL IL STATE CTL SUB LICENSE
209003868 05 IL
209003868 01 IL IL STATE LICENSE
institution
Provider Business Practice Location Address Details
Address
1200 W State St
City
State
Zip
61102-2112
Phone Number
815-490-1600
Fax Number
815-490-1625
person
Provider Business Mailing Address Details
Address
1200 W State St
City
State
Zip
61102-2112
Phone Number
815-490-1600
Fax Number
815-490-1625
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
209003868 (Illinois)
Definition
Definition to come...
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