Healthcare Provider Details

I. General information

NPI: 1093577058
Provider Name (Legal Business Name): SHREYA BRAHMBHATT NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/25/2024
Last Update Date: 06/10/2026
Certification Date: 06/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5830 E 2ND ST STE 537
CASPER WY
82609-4308
US

IV. Provider business mailing address

5830 E 2ND ST STE 537
CASPER WY
82609-4308
US

V. Phone/Fax

Practice location:
  • Phone: 888-711-5993
  • Fax:
Mailing address:
  • Phone: 888-711-5993
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number11043782
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberARNP.AP.70061678-NP
License Number StateWA
# 3
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number14258437-4405
License Number StateUT
# 4
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberAPRN-CNP4049034
License Number StateKY
# 5
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberC-APN.0105401-C-NP
License Number StateCO
# 6
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberAPRN-RNP332263
License Number StateAZ
# 7
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberAPRN-CNP58366
License Number StateWY
# 8
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberAPRNCNP1225706
License Number StateTX
# 9
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number24195606
License Number StateVA
# 10
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberAPRN-NP310823
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: