Individual
KATELYN ANNE BRADY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP-BC
Contact information
Practice address
561 SAXONY PL # 101, ENCINITAS, CA 92024-7700
(760) 503-4703
Mailing address
2321 LORING ST, SAN DIEGO, CA 92109-2346
(858) 477-8542
(858) 247-3778
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
95004809
CA
Other
Enumeration date
04/09/2015
Last updated
05/13/2025
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