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Rebecca L Brady, APRN
Pediatric Nurse Practitioner in West Suffield, Connecticut
NPI 1659609584

Rebecca L Brady is a Pediatric Nurse Practitioner based in West Suffield, CT and is specialized in Pediatrics. Rebecca L Brady practices in West Suffield, CT and has the professional credentials of APRN. The NPI Number for Rebecca L Brady is 1659609584 and holds a License No. 20163920 (Connecticut).

The current practice location address for Rebecca L Brady is 49 Woods Hollow Rd, West Suffield, CT and can be reached out via phone at 860-983-0580.

Location: 49 Woods Hollow Rd, West Suffield, CT, 06093-2656
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1659609584
Provider Name
Rebecca L Brady
Credential
APRN
Provider Entity Type
Individual
Gender
Female
Address
49 Woods Hollow Rd, West Suffield, CT, 06093-2656
Phone Number
860-983-0580
Fax Number
Provider Enumeration Date
12/04/2009
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
004231 01 CT APRN CT STATE LISCENSURE
institution
Provider Business Practice Location Address Details
Address
49 Woods Hollow Rd
City
West Suffield
State
Connecticut
Zip
06093-2656
Phone Number
860-983-0580
Fax Number
person
Provider Business Mailing Address Details
Address
49 Woods Hollow Rd
City
West Suffield
State
Connecticut
Zip
06093-2656
Phone Number
860-983-0580
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Pediatrics
Taxonomy
363LP0200X
License No.
004231 (Connecticut)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Psychiatric/Mental Health
Taxonomy
363LP0808X
License No.
20163920 (Connecticut)
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Clinical Nurse Specialist
Speciality
Psychiatric/Mental Health, Child & Family
Taxonomy
364SP0810X
License No.
20163920 (Connecticut)
Definition
Definition to come...
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