Individual provider · Type 1 NPI
Shante Brady, FNP
Family Nurse Practitioner · Wawarsing, NY
NPI number
1669072344
Active
Practice location
7256 Route 209
Wawarsing, NY 12489-2016
Mailing address
525 Bloomingburg Rd
Middletown, NY 10940-8436
Other practice locations
- 940 State Route 17K, Montgomery, NY 12549-2213 · (845) 457-2900
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Primary Care Nurse Practitioner | 363LP2300X | 346677 (NY) |
| Family Nurse Practitioner Primary | 363LF0000X | 346677 (NY) |
Family Nurse Practitioner: Definition to come...
2 other providers at this address
About NPI 1669072344
Shante Brady, FNP's National Provider Identifier is 1669072344, issued on Oct 30, 2020. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Wawarsing, NY. The record was last updated on Oct 1, 2024.