Individual
MRS. MARY COLLEEN BRACKEN
Active
Individual
MRS. MARY COLLEEN BRACKEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
A.N.P.
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
F303660
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00026705402
UNIVERA
NY
01
—
000560845003
BLUE CROSS
NY
01
—
060065956
RAILROAD MEDICARE
NY
01
—
166192295
EMPIRE
NM
01
—
166192295
GHI
NY
01
—
9512547
INDEPENDENT HEALTH
NM
Enumeration date
04/06/2006
Last updated
01/22/2026
Update your record
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