Individual
BETH BRADY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
1316 S MAIN ST, CLARION, IA 50525-2019
(515) 532-2811
Mailing address
1507 315TH ST, EAGLE GROVE, IA 50533-8014
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
087477
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0283465
—
IA
05
—
0293522
—
IA
05
—
0424507
—
IA
05
—
0600460
—
IA
05
—
0635011
—
IA
05
—
0655001
—
IA
Enumeration date
06/21/2006
Last updated
09/19/2023
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