National Provider Identifier
Carolyn R Braddock, NP
Carolyn R Braddock, NP is listed in the NPPES registry with a primary specialty of Nurse Practitioner in Rochester, NY and a listed phone number of (585) 279-4800.
Profile Overview
- NPI
- 1669406864
- Provider Type
- Individual
- Primary Specialty
- Nurse Practitioner
- Enumeration Date
- July 11, 2006
- Last Updated
- July 23, 2007
Practice Location
- 777 Clinton Ave S
- Rochester, NY 14620-1401
Phone: (585) 279-4800
Specialties
- Nurse Practitioner (363L00000X)
Full Record
- NPI
- 1669406864
- Entity Type
- Individual
- Last Name
- Braddock
- First Name
- Carolyn
- Middle Name
- R
- Credential
- NP
- Mailing Street Address
- 777 Clinton Ave S
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14620-1401
- Mailing Country
- US
- Mailing Phone
- (585) 279-4800
- Mailing Fax
- (585) 442-8319
- Practice Street Address
- 777 Clinton Ave S
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14620-1401
- Practice Country
- US
- Practice Phone
- (585) 279-4800
- Practice Fax
- (585) 442-8319
- Enumeration Date
- July 11, 2006
- Last Updated
- July 23, 2007
- Sex
- Female
- Sole Proprietor
- No
- Taxonomies
- Nurse Practitioner (363L00000X)
- Other Identifiers
- P019330028 (NY, Blue Choice), NP0405 (NY, Preferred Care)