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General NPI Number Information
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NPI Number | 1619423175
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Entity Type | Individual
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Provider Name | SHERYL ANNE BRADY APRN/PMHNP
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Gender | Female
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Dates
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Enumeration Date | 08/25/2016
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Last Update Date | 11/26/2025
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Provider Practice Location Address
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Address Line | 2211 LOMAS BLVD NE
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City | ALBUQUERQUE
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State | NM
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Zip | 87106-2719
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Country | US
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Telephone | 505-272-2237
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Fax | 505-272-4743
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Provider Business Mailing Address
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Address Line | 12808 THOMTE RD NE
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City | ALBUQUERQUE
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State | NM
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Zip | 87112-6808
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Country | US
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Telephone | 719-685-6898
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Fax | 505-272-4743
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 82232
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License Number State | NM
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Taxonomy #2
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | APN.0992666-NP
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License Number State | CO
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Taxonomy #3
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Taxonomy Code | 163WP0808X
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Taxonomy Name | Psychiatric/Mental Health Registered Nurse
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License Number | RN.0195551
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License Number State | CO
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