Brady, Mary Anne
Brady, Mary Anne is an individual health care provider with primary practice located at 100 Brewster Blvd , Camp Lejeune NC 28547-2575. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife, which is considered as her primary health care specialty. Brady, Mary Anne can be contacted via phone (910) 450-4566.Contact Information
Primary practice address
100 Brewster Blvd
Camp Lejeune NC 28547-2575
Phone: (910) 450-4566
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife | 367A00000X | 2137 | Tennessee |
| Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife | 367A00000X | CNM2137 | North Carolina |
Profile Details
| NPI number | 1083011035 |
|---|---|
| LBN Legal business name | Brady, Mary Anne |
| Credentials | Certified Nurse Midwife (CNM) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 19th, 2014 |
| Last updated | Dec 23rd, 2019 - about 6 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1083011035 | NPPES |
| Tennessee | Other | 22498 | LICENSE |
| Tennessee | MEDICAID | 1083011035 | LICENSE |
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