Brady, Mary Angela

Brady, Mary Angela is an individual health care provider with primary practice located at 7945 Wolf River Blvd , Germantown TN 38138-1762. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Brady, Mary Angela can be contacted via phone (901) 683-0055.

Contact Information

Primary practice address
7945 Wolf River Blvd Germantown TN 38138-1762
Phone: (901) 683-0055
Fax: (901) 685-2969
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 14043 Tennessee
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 14043 Tennessee

Profile Details

NPI number 1891936720
LBN Legal business name Brady, Mary Angela
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 24th, 2009
Last updated Apr 3rd, 2017 - about 8 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1891936720 NPPES
Mississippi MEDICAID 06376837
Mississippi MEDICAID 1513461

Popular Providers