Bracken, Mary Colleen

Bracken, Mary Colleen is an individual health care provider with primary practice located at 4979 Harlem Rd , Amherst NY 14226-2547. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Adult Health, which is considered as her primary health care specialty. Bracken, Mary Colleen can be contacted via phone (716) 923-4380.

Contact Information

Primary practice address
4979 Harlem Rd Amherst NY 14226-2547
Phone: (716) 923-4380
Fax: (716) 923-4384
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X F303660 New York

Profile Details

NPI number 1376505099
LBN Legal business name Bracken, Mary Colleen
Credentials Adult Nurse Practitioner (ANP)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 6th, 2006
Last updated Sep 3rd, 2013 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1376505099 NPPES
New Mexico Other 166192295 EMPIRE
New Mexico Other 166192295 EMPIRE
New Mexico Other 9512547 EMPIRE
New Mexico Other 000560845003 EMPIRE
New Mexico Other 060065956 EMPIRE
New Mexico Other 00026705402 EMPIRE
New Mexico Other 000560845003 EMPIRE

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