Individual
THERESA B BRADY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
127 N BROAD ST, WOODBURY, NJ 08096-1718
(856) 845-0500
(856) 384-8757
Mailing address
127 N BROAD ST, WOODBURY, NJ 08096-1718
(856) 845-0500
(856) 384-8757
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN315201L
PA
363LF0000X
Family Nurse Practitioner
Primary
TP004037B
PA
Other
Enumeration date
07/24/2006
Last updated
06/16/2017
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