Healthcare Provider Details

I. General information

NPI: 1619423175
Provider Name (Legal Business Name): SHERYL ANNE BRADY APRN/PMHNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: CHERYL ANNE RHOADS, HOPKINS APRN/PMHNP

II. Dates (important events)

Enumeration Date: 08/25/2016
Last Update Date: 11/26/2025
Certification Date: 11/26/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2211 LOMAS BLVD NE
ALBUQUERQUE NM
87106-2719
US

IV. Provider business mailing address

12808 THOMTE RD NE
ALBUQUERQUE NM
87112-6808
US

V. Phone/Fax

Practice location:
  • Phone: 505-272-2237
  • Fax: 505-272-4743
Mailing address:
  • Phone: 719-685-6898
  • Fax: 505-272-4743

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number82232
License Number StateNM
# 2
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberAPN.0992666-NP
License Number StateCO
# 3
Primary TaxonomyN
Taxonomy Code163WP0808X
TaxonomyPsychiatric/Mental Health Registered Nurse
License NumberRN.0195551
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: