| Mrs Michelle A Brady, FNP | |
|
1200 W State St, Rockford, IL 61102-2112 | |
| (815) 490-1600 | |
| (815) 490-1625 |
| Full Name | Mrs Michelle A Brady |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 1200 W State St, Rockford, Illinois |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396735379 | NPI | - | NPPES |
| 309001823 | Other | IL | IL STATE CTL SUB LICENSE |
| 209003868 | Medicaid | IL | |
| 209003868 | Other | IL | IL STATE LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 209003868 (Illinois) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Michelle A Brady, FNP 1200 W State St, Rockford, IL 61102-2112 Ph: (815) 490-1600 | Mrs Michelle A Brady, FNP 1200 W State St, Rockford, IL 61102-2112 Ph: (815) 490-1600 |
Misty Lynn Dehaven, APN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1639 N Alpine Rd Ste 260, Rockford, IL 61107 Phone: 815-395-1500 Fax: 815-395-1415 | |
Candice Vicencio, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1235 N Mulford Rd Ste 222, Rockford, IL 61107 Phone: 815-397-8400 | |
Caryn Ann Ruzic, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1200 W State St, Rockford, IL 61102 Phone: 815-490-1600 Fax: 815-490-1881 | |
Tyler James Rafferty, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 5666 E State St, Rockford, IL 61108 Phone: 815-226-2000 | |
Angela Giardono, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 5666 E State St, Rockford, IL 61108 Phone: 815-226-2000 | |
Melissa L. Inman, APN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 461 N Mulford Rd Ste 3, Rockford, IL 61107 Phone: 815-227-9594 Fax: 815-227-9574 | |
Michelle L Bennett, APRN Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 3505 N Bell School Rd, Rockford, IL 61114 Phone: 779-696-0300 Fax: 815-639-9433 |