Doctor Name: | MS. CYNTHIA S. BRADRICK |
NPI Number: | 1003026071 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | RN |
License Number: | 53621 |
Business Practice Address: | 1525 Blue Spruce Dr Fort Collins, CO - 805242004 |
Business Phone Number: | 9704986747 |
Business Fax Number: | 9704986772 |
Mailing Address: | 1208 Alpine Pl, LOVELAND |
State: | CO |
Postal Code: | 805382103 |
Phone Number: | 9706694809 |
Fax Number: | |
NPI Enumeration Date: | 05/22/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 163WC1500X |
License Number: | 53621 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CO |
Taxonomy Type: | Nursing Service Providers |
Taxonomy Classification: | Registered Nurse |
Taxonomy Specialization: | Community Health |
Taxonomy Definition: |