Eileen Braga, NURSE PRACTITIONER
Individual provider Active NPI Women's Health Nurse Practitioner · Monticello, NY
NPI 1861568693 · NPPES record last updated Jun 7, 2012
Key facts
- NPI
- 1861568693
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Women's Health Nurse Practitioner 363LW0102X
- License
- F4201891 (NY)
- Practice address
- 14 Prince St
Monticello, NY 12701-1910 - Phone
- (845) 794-3704
- NPI assigned
- Nov 24, 2006
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| F4201891 | NY | MD | Women's Health Nurse Practitioner |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Women's Health Nurse Practitioner | 363LW0102X | F4201891 | NY | Yes |
Addresses
Primary practice location
14 Prince St
Monticello, NY 12701-1910
Mailing address
PO Box 997
Pine Bush, NY 12566
Phone (845) 733-8155
Other providers in Monticello, NY
- Blerta Blushi
- Rachel Bomgardner
- Weronika Bonar
- Alex B Boss
- Piper Bowman
- Scott Payson Brett
- William Brinkerhoff
- Brit, Inc.
- Donna Brodie
- Stephanie Michelle Brown
All providers in Monticello, NY · Women's Health Nurse Practitioner in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 7, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.