Individual provider · Type 1 NPI

Carolyn R. Braddock, NP

Nurse Practitioner · Rochester, NY

NPI number 1669406864 Active

Practice location

777 Clinton Ave S
Rochester, NY 14620-1401

Fax (585) 442-8319

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000X330028 (NY)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1669406864

Carolyn R. Braddock, NP's National Provider Identifier is 1669406864, issued on Jul 11, 2006. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Rochester, NY. The record was last updated on Jul 23, 2007.