MRS. MARY COLLEEN BRACKEN A.N.P. NPI 1376505099

NPI Information

NPI: 1376505099
Provider Name: MRS. MARY COLLEEN BRACKEN, A.N.P.
Classification: Nurse Practitioner - 363LA2200X
Entity Type: Individual

Specialization: Adult Health

PECOS Registration: Yes

Address:
4979 HARLEM RD
AMHERST, NY
ZIP 14226
Phone: (716) 923-4380
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MRS. Mary Colleen Bracken, A.N.P. is an adult health nurse practitioner in Amherst, NY. MRS. Mary Colleen Bracken, A.N.P. NPI is 1376505099. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

4979 HARLEM RD
AMHERST, NY
ZIP 14226-547
Phone: (716) 923-4380
Fax: (716) 923-4384

The NPI 1376505099 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 4/6/2006 and was last updated on 9/3/2013.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LA2200X	Nurse Practitioner	Adult Health	F303660	NEW YORK	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	00026705402	OTHER	NEW YORK	UNIVERA
2	BB1937	MEDICARE PIN	NEW YORK
3	166192295	OTHER	NEW MEXICO	EMPIRE
4	9512547	OTHER	NEW MEXICO	INDEPENDENT HEALTH
5	166192295	OTHER	NEW YORK	GHI
6	000560845003	OTHER	NEW YORK	BLUE CROSS
7	060065956	OTHER	NEW YORK	RAILROAD MEDICARE
8	000560845003	OTHER	NEW YORK	COMMUNITY BLUE
9	P37490	MEDICARE UPIN	NEW YORK

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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