National Provider Identifier
Glen Dale Brady, L.P.N
Glen Dale Brady, L.P.N is listed in the NPPES registry with a primary specialty of Licensed Practical Nurse in Rochester, NY and a listed phone number of (585) 288-6598.
Profile Overview
- NPI
- 1063691533
- Provider Type
- Individual
- Primary Specialty
- Licensed Practical Nurse
- Enumeration Date
- October 31, 2007
- Last Updated
- October 31, 2007
Practice Location
- 78 Willmont St
- Rochester, NY 14609-3620
Phone: (585) 288-6598
Specialties
- Licensed Practical Nurse (164W00000X)
Full Record
- NPI
- 1063691533
- Entity Type
- Individual
- Last Name
- Brady
- First Name
- Glen
- Middle Name
- Dale
- Name Prefix
- Mr.
- Credential
- L.P.N
- Mailing Street Address
- 78 Willmont St
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14609-3620
- Mailing Country
- US
- Mailing Phone
- (585) 288-6598
- Practice Street Address
- 78 Willmont St
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14609-3620
- Practice Country
- US
- Practice Phone
- (585) 288-6598
- Enumeration Date
- October 31, 2007
- Last Updated
- October 31, 2007
- Sex
- Male
- Sole Proprietor
- Yes
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Licensed Practical Nurse (164W00000X)
- Other Identifiers
- 02206848 (NY)