Individual
MRS. DEIRDRE ANNE BRACKEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ANP
Contact information
Practice address
525 E 68TH ST # 168, NEW YORK, NY 10065-4870
(212) 746-5454
Mailing address
15 CHAUCER RD, SHORT HILLS, NJ 07078-2925
(973) 921-9490
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
26NJ00380700
NJ
363LA2200X
Adult Health Nurse Practitioner
Primary
F306110-1
NY
Other
Enumeration date
10/23/2012
Last updated
10/23/2012
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