Bray, Diane M

Bray, Diane M is an individual health care provider with primary practice located at 664 Prospect Ave , Hartford CT 06105-4203. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as her primary health care specialty. Bray, Diane M can be contacted via phone (860) 236-8087.

Contact Information

Primary practice address
664 Prospect Ave Hartford CT 06105-4203
Phone: (860) 236-8087
Fax: (860) 586-7422
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 364SP0808X 000772 Connecticut

Profile Details

NPI number 1073552865
LBN Legal business name Bray, Diane M
Credentials APRN, BC
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 6th, 2006
Last updated Jul 8th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1073552865 NPPES
Connecticut Other 4556305 AETNA
Connecticut Other P1935240 AETNA
Connecticut Other 188780 AETNA
Connecticut Other 400000772-CT02 AETNA
Connecticut Other 134533 AETNA
Connecticut Other 400000772-CT01 AETNA

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