| Doctor Name: | MRS. PATRICIA LYNN BRADLEY |
| NPI Number: | 1265606560 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | RD MA CDE |
| License Number: | |
| Business Practice Address: | 32060 Longneck Road Millsboro, DE - 19966 |
| Business Phone Number: | 3029472500 |
| Business Fax Number: | 3029472909 |
| Mailing Address: | 32060 Long Neck Rd, MILLSBORO |
| State: | DE |
| Postal Code: | 199666228 |
| Phone Number: | 3029472500 |
| Fax Number: | 3029472909 |
| NPI Enumeration Date: | 04/17/2008 |
| NPI Last Update Date: | 04/17/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 133VN1006X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Dietary & Nutritional Service Providers |
| Taxonomy Classification: | Dietitian, Registered |
| Taxonomy Specialization: | Nutrition, Metabolic |
| Taxonomy Definition: | |