Doctor Name: | SARAH R. BRADLEY |
NPI Number: | 1164635306 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | CRNP |
License Number: | SP009425 |
Business Practice Address: | 1503 Lansdowne Ave #3006 Darby, PA - 190231330 |
Business Phone Number: | 6102372584 |
Business Fax Number: | 8563848757 |
Mailing Address: | 1503 Lansdowne Ave, #3006 DARBY |
State: | PA |
Postal Code: | 190231330 |
Phone Number: | 6102372584 |
Fax Number: | 8563848757 |
NPI Enumeration Date: | 05/07/2007 |
NPI Last Update Date: | 01/25/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LA2200X |
License Number: | SP009425 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | PA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Adult Health |
Taxonomy Definition: |