Erini Constantina Braddock, FNP-C

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

AP11343 Issued in AZ

Practice address

3250 W Lower Buckeye Rd
Phoenix, AZ 85009-6729

Phone

(602) 876-7137

NPI assigned

Jun 8, 2018

Last updated

Jun 8, 2018By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1528416000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1528416000000",
    "number": "1316430903",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13257 W AVENIDA DEL REY",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853833511",
            "telephone_number": "602-821-5461"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3250 W LOWER BUCKEYE RD",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850096729",
            "telephone_number": "602-876-7137"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRADDOCK",
        "first_name": "ERINI",
        "middle_name": "CONSTANTINA",
        "name_prefix": "Mrs.",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-08",
        "last_updated": "2018-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "AZ",
            "license": "AP11343",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sophia Bracey, FNP-BC
• Cameron Michael Brach, CRNA
• David G Brachman, MD
• Hailey A Brack, CRNA
• Jodi Bracy, LPC
• Braden Partners LP (AdaptHealth)
• Braden Partners LP (Pacific Pulmonary Services)
• Nancy Jo Braden, M.D.
• Chas Edward Bradford-Green, RBT
• Clarissa Bradford

• Nurse Practitioner in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Nurse Practitioner in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.