Individual
STACY BRADY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNS
Contact information
Practice address
830 CHALKSTONE AVE, PROVIDENCE, RI 02908-4734
(401) 273-7100
Mailing address
30 SAINT JAMES PL, ATTLEBORO, MA 02703-8170
Taxonomy
Speciality
Code
Description
License number
State
364S00000X
Clinical Nurse Specialist
Primary
RN2271142
MA
Other
Enumeration date
04/03/2018
Last updated
04/03/2018
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