Individual
THERESE D BRADY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
51 N 39TH ST, PHILADELPHIA, PA 19104
(215) 662-8244
Mailing address
UPHS OFFICE OF MEDICAL AFFAIRS, 3624 MARKET STREET, STE 560W, PHILADELPHIA, PA 19104
(215) 662-3958
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
RN522578L
PA
Other
Enumeration date
07/28/2006
Last updated
02/19/2010
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