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Organization
SIMPLY PRIMARY CARE
Active
Organization
SIMPLY PRIMARY CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHANTE BRADY FNP (FNP)
(845) 407-7942
Entity
Organization
Contact information
Practice address
37 RUTH CT, MIDDLETOWN, NY 10940-5329
(845) 407-7942
Mailing address
37 RUTH CT, MIDDLETOWN, NY 10940-5329
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
—
—
364SF0001X
Family Health Clinical Nurse Specialist
—
—
Other
Enumeration date
04/26/2022
Last updated
04/28/2022
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