Healthcare Provider Details

I. General information

NPI: 1841608320
Provider Name (Legal Business Name): BRADY DECKER FNP-C
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/28/2014
Last Update Date: 04/21/2026
Certification Date: 04/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3101 W US HIGHWAY 224
TIFFIN OH
44883-8305
US

IV. Provider business mailing address

7595 COUNTY ROAD 236
FINDLAY OH
45840-8738
US

V. Phone/Fax

Practice location:
  • Phone: 419-427-1984
  • Fax:
Mailing address:
  • Phone: 419-427-3104
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberAPRN.CNP.16044
License Number StateOH
# 2
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberCOA.16044-NP
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: