Nelson, Brady Paul

Nelson, Brady Paul is an individual health care provider with primary practice located at 13943 N . 91St Ave Building I , Peoria AZ 85381-3692. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as his primary health care specialty. Nelson, Brady Paul can be contacted via phone (623) 815-2690.

Contact Information

Primary practice address
13943 N . 91St Ave Building I Peoria AZ 85381-3692
Phone: (623) 815-2690
Fax: (623) 815-2689
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 2677 Arizona

Profile Details

NPI number 1922103407
LBN Legal business name Nelson, Brady Paul
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 13th, 2006
Last updated Feb 17th, 2012 - about 14 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 1922103407 NPPES
Arizona MEDICAID 736077
Arizona MEDICAID 2677

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