Individual
NICOLE D BRACKEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
29 STAGECOACH TRL, MIDDLETOWN, NY 10940-7089
(845) 239-6638
Mailing address
29 STAGECOACH TRL, MIDDLETOWN, NY 10940-7089
(845) 239-6638
Taxonomy
Speciality
Code
Description
License number
State
163WP0200X
Pediatric Registered Nurse
Primary
770845
NY
Other
Enumeration date
05/04/2012
Last updated
06/18/2019
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