Provider Demographics
NPI:1659342731
Name:BRADY, HELEN MAY (PA-C)
Entity Type:Individual
Prefix:MRS
First Name:HELEN
Middle Name:MAY
Last Name:BRADY
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:540 NW CAROLYN LN
Mailing Address - Street 2:
Mailing Address - City:POULSBO
Mailing Address - State:WA
Mailing Address - Zip Code:98370-9750
Mailing Address - Country:US
Mailing Address - Phone:267-342-2905
Mailing Address - Fax:
Practice Address - Street 1:1400 FARRAGUT AVE
Practice Address - Street 2:PSNS BHC
Practice Address - City:BREMERTON
Practice Address - State:WA
Practice Address - Zip Code:98314-6001
Practice Address - Country:US
Practice Address - Phone:360-476-6872
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-01-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA1053557363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical