Individual
MAUREEN BRADY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
3650 JOSEPH SIEWICK DR STE 203, FAIRFAX, VA 22033-1712
(703) 391-1500
(703) 860-1549
Mailing address
7500 IRON BAR LN STE 219, GAINESVILLE, VA 20155-3614
(703) 753-0963
(703) 753-2367
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
0001066176
VA
164W00000X
Licensed Practical Nurse
Primary
0024066176
VA
Other
Enumeration date
03/11/2010
Last updated
03/11/2010
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