Individual
GRACE M. BRADY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
28 CRESCENT ST, MIDDLETOWN, CT 06457-3654
(860) 358-6233
(850) 358-6135
Mailing address
28 CRESCENT ST, MIDDLETOWN, CT 06457-3654
(860) 358-6233
(850) 358-6135
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
1202
CT
364SA2100X
Acute Care Clinical Nurse Specialist
001202
CT
364SA2200X
Adult Health Clinical Nurse Specialist
001202
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001202
CT APRN LICENSE
CT
Enumeration date
07/17/2006
Last updated
09/24/2015
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