Provider Demographics
NPI:1356785687
Name:BRADY, MARGARET YVONNE (RN)
Entity type:Individual
Prefix:MS
First Name:MARGARET
Middle Name:YVONNE
Last Name:BRADY
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 1:155 BURMONT RD
Mailing Address - Street 2:1ST FLOOR
Mailing Address - City:DREXEL HILL
Mailing Address - State:PA
Mailing Address - Zip Code:19026-2011
Mailing Address - Country:US
Mailing Address - Phone:484-461-1583
Mailing Address - Fax:
Practice Address - Street 1:155 BURMONT RD
Practice Address - Street 2:1ST FLOOR
Practice Address - City:DREXEL HILL
Practice Address - State:PA
Practice Address - Zip Code:19026-2011
Practice Address - Country:US
Practice Address - Phone:484-461-1583
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-04-17
Last Update Date:2013-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARN231961L163WC0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WC0400XNursing Service ProvidersRegistered NurseCase Management