Individual
MRS. MARY ANNE BRADY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
100 BREWSTER BLVD, CAMP LEJEUNE, NC 28547-2575
(910) 450-4566
Mailing address
100 BREWSTER BLVD, CAMP LEJEUNE, NC 28547-2575
(910) 450-4566
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
2137
TN
367A00000X
Advanced Practice Midwife
Primary
CNM2137
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1083011035
—
NC
01
—
22498
LICENSE
TN
Enumeration date
11/19/2014
Last updated
03/03/2025
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