| Doctor Name: | MRS. CHARITY ANN BRADLEY |
| NPI Number: | 1093197790 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | FNP |
| License Number: | 543809 |
| Business Practice Address: | 475 Bruce St Yreka, CA - 960973474 |
| Business Phone Number: | 5308414980 |
| Business Fax Number: | 5308419412 |
| Mailing Address: | 475 Bruce St, YREKA |
| State: | CA |
| Postal Code: | 960973474 |
| Phone Number: | 5308414980 |
| Fax Number: | 5308419412 |
| NPI Enumeration Date: | 06/18/2015 |
| NPI Last Update Date: | 06/18/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 163WM0102X |
| License Number: | 543809 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | CA |
| Taxonomy Type: | Nursing Service Providers |
| Taxonomy Classification: | Registered Nurse |
| Taxonomy Specialization: | Maternal Newborn |
| Taxonomy Definition: | |