Brady, Rebecca L
Brady, Rebecca L is an individual health care provider with primary practice located at 49 Woods Hollow Rd , West Suffield CT 06093-2656. She recently has 3 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Child & Family, Physician Assistants & Advanced Practice Nursing Providers / Pediatrics. Physician Assistants & Advanced Practice Nursing Providers / Pediatrics is her primary health care specialty. Brady, Rebecca L can be contacted via phone (860) 983-0580.Contact Information
Primary practice address
49 Woods Hollow Rd
West Suffield CT 06093-2656
Phone: (860) 983-0580
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health | 363LP0808X | 20163920 | Connecticut |
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Child & Family | 364SP0810X | 20163920 | Connecticut |
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics | 363LP0200X | 004231 | Connecticut |
Profile Details
NPI number | 1659609584 |
---|---|
LBN Legal business name | Brady, Rebecca L |
Credentials | Advanced Practice Registered Nurse (APRN) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Dec 4th, 2009 |
Last updated | Apr 25th, 2023 - about last year |
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 | 1659609584 | NPPES |
Connecticut | Other | 004231 | APRN CT STATE LISCENSURE |
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