Bray, Diane M
Bray, Diane M is an individual health care provider with primary practice located at 664 Prospect Ave , Hartford CT 06105-4203. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as her primary health care specialty. Bray, Diane M can be contacted via phone (860) 236-8087.Contact Information
Primary practice address
664 Prospect Ave
Hartford CT 06105-4203
Phone: (860) 236-8087
Fax: (860) 586-7422
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health | 364SP0808X | 000772 | Connecticut |
Profile Details
NPI number | 1073552865 |
---|---|
LBN Legal business name | Bray, Diane M |
Credentials | APRN, BC |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jun 6th, 2006 |
Last updated | Jul 8th, 2007 - about 17 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 | 1073552865 | NPPES |
Connecticut | Other | 4556305 | AETNA |
Connecticut | Other | P1935240 | AETNA |
Connecticut | Other | 188780 | AETNA |
Connecticut | Other | 400000772-CT02 | AETNA |
Connecticut | Other | 134533 | AETNA |
Connecticut | Other | 400000772-CT01 | AETNA |
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