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NPI Code Detail

MEDICARE: DIANE B BRADEN N.P.

MEDICARE:   DIANE B BRADEN  N.P.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LF0000XFamily Nurse PractitionerF331841NY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1215973235
Entity Type Code : Individual
Provider Name (Legal Business Name) : DIANE B BRADEN N.P.
Provider Business Mailing Address
First Line : PO BOX 2000
Second Line :
City : HUDSON
State : NY
Zip : 12534-2000
Country : US
Telephone Number : 518-828-8363
Fax Number : 518-697-3388
Provider Business Practice Location Address
First Line : 146 JEFFERSON HTS
Second Line :
City : CATSKILL
State : NY
Zip : 12414-1215
Country : US
Telephone Number : 518-943-3415
Fax Number : 518-943-0938
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/20/2006
Last Update Date : 10/11/2007

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Directions to “ DIANE B BRADEN N.P.” Practice Location

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