Individual
DIANE B BRADEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
146 JEFFERSON HTS, CATSKILL, NY 12414-1215
(518) 943-3415
(518) 943-0938
Mailing address
PO BOX 2000, HUDSON, NY 12534-2000
(518) 828-8363
(518) 697-3388
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
F331841
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02210819
—
NY
Enumeration date
06/20/2006
Last updated
10/11/2007
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