Individual
MRS. JUDITH BRADY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
1430 WATERCOVE LN, LAWRENCEVILLE, GA 30043-6223
(917) 701-2722
Mailing address
1430 WATERCOVE LN, LAWRENCEVILLE, GA 30043-6223
(917) 701-2722
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
F308744-1
NY
363LP2300X
Primary Care Nurse Practitioner
RN293436
GA
Other
Enumeration date
07/06/2020
Last updated
10/16/2025
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