Provider Demographics
NPI:1942465620
Name:REIMER-BRADY, JEAN (RN, MSN, NNP)
Entity Type:Individual
Prefix:MS
First Name:JEAN
Middle Name:
Last Name:REIMER-BRADY
Suffix:
Gender:F
Credentials:RN, MSN, NNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:206 VALENCIA DR
Mailing Address - Street 2:
Mailing Address - City:MILLBRAE
Mailing Address - State:CA
Mailing Address - Zip Code:94030-2857
Mailing Address - Country:US
Mailing Address - Phone:650-692-2069
Mailing Address - Fax:650-692-2069
Practice Address - Street 1:505 PARNASSUS AVE
Practice Address - Street 2:BOX 0210
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94143-2204
Practice Address - Country:US
Practice Address - Phone:415-353-1247
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-07-22
Last Update Date:2008-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA2192363LN0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LN0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerNeonatal