Provider Demographics
NPI:1154867018
Name:BRADY, MICHAELA COURTNEY (CRNP)
Entity Type:Individual
Prefix:MRS
First Name:MICHAELA
Middle Name:COURTNEY
Last Name:BRADY
Suffix:
Gender:F
Credentials:CRNP
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Mailing Address - Street 1:3800 RESERVOIR RD NW
Mailing Address - Street 2:1ST FLOOR GORMAN
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20007-2113
Mailing Address - Country:US
Mailing Address - Phone:202-444-1637
Mailing Address - Fax:202-444-1655
Practice Address - Street 1:3800 RESERVOIR RD NW
Practice Address - Street 2:1ST FLOOR GORMAN
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20007-2113
Practice Address - Country:US
Practice Address - Phone:202-444-8766
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-01-16
Last Update Date:2023-12-21
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
DCRN1043616363LP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary Care