Organization
MARY C BRADY, CNP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARY CATHERINE BRADY CNP (OWNER)
(513) 310-3007
Entity
Organization
Contact information
Practice address
430 DEANVIEW DR, CINCINNATI, OH 45224-1415
(513) 310-3007
Mailing address
430 DEANVIEW DR, CINCINNATI, OH 45224-1415
(513) 310-3007
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
08812
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2975384
—
OH
Enumeration date
11/02/2009
Last updated
12/09/2009
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