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Contact Information

KATHLEEN P BRADY, FNP-C
24112 W JOMAX RD
WITTMANN, AZ85361-5506
 Phone: 602-833-4096
 Fax: 602-536-0870
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family

363LF0000X 50 Nurse Practitioner
 

Diabetes Educator

163WD0400X
Indicates primary specialty

NPI Profile & details for KATHLEEN P BRADY · (Female)

NPI # 1962829713
Status Active
Credentials FNP-C (Family Nurse Practitioner, Certified)
Entity Individual
Enumeration date 03/18/2014
Last updated 01/16/2026 - About 5 months ago
Sole proprietor 1 No
Identifiers
  • AZ License # 32300265
  • AZ License # AP5393
Hospital affiliation(s)
  • WICKENBURG COMMUNITY HOSPITAL - (Critical Access)
    520 ROSE LANE
    WICKENBURG, AZ 85390
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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