| Doctor Name: | MRS. CAROL S BRADFORD |
| NPI Number: | 1083729990 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | NP-C |
| License Number: | AP2458 |
| Business Practice Address: | 2080 W Southern Ave Bldg B10 Apache Junction, AZ - 851207455 |
| Business Phone Number: | 4803512850 |
| Business Fax Number: | 4803512851 |
| Mailing Address: | Po Box 10097, CASA GRANDE |
| State: | AZ |
| Postal Code: | 851300020 |
| Phone Number: | 5208363446 |
| Fax Number: | 5208368807 |
| NPI Enumeration Date: | 08/20/2006 |
| NPI Last Update Date: | 01/12/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | AP2458 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | AZ |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |