Individual
MICHELE BRADY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ANP
Contact information
Practice address
3803 N ELM ST, GREENSBORO, NC 27455
(336) 542-7939
Mailing address
3803 N ELM ST, GREENSBORO, NC 27455-2593
(336) 542-7939
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
APN.18390 TP
SC
363LA2200X
Adult Health Nurse Practitioner
Primary
5006661
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1376975789
—
NC
01
—
19BQZ
BCBSNC
NC
Enumeration date
08/08/2013
Last updated
06/10/2019
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