Most Relevant Information
Provider Data
| NPI Number: | 1003322330 |
| Provider Name: | BRADY WILLIAM SWEAT FNP |
| Entity Type: | Individual |
| Taxonomy Code: | 363LF0000X |
| Specialty: | Nurse Practitioner |
| License Number: | 201706355NP-PP |
Most Important Dates
| Enumeration Date: | 12/22/2017 |
| Last Updated: | 12/22/2017 |
Provider Practice Location
2865 DAGGETT AVE
KLAMATH FALLS
OR
976011106
Practice Location Phone/Fax
| Phone: | 5412746177 |
| Fax: | 5412746177 |
Provider Mailing Location
2865 DAGGETT AVE
KLAMATH FALLS
OR
976011106
Provider Mailing Phone/Fax
| Phone: | 5412746177 |
| Fax: |