Provider Demographics
NPI:1497141543
Name:URBAIN-BRAMMER, AVION (RN)
Entity Type:Individual
Prefix:
First Name:AVION
Middle Name:
Last Name:URBAIN-BRAMMER
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4303 BAYCHESTER AVE
Mailing Address - Street 2:2H
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10466-1828
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:4303 BAYCHESTER AVE
Practice Address - Street 2:2H
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10466-1828
Practice Address - Country:US
Practice Address - Phone:646-283-0776
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-04-15
Last Update Date:2015-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY22 604037163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse