| Doctor Name: | BLUE E BRADLEY |
| NPI Number: | 1407005051 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | CNM, ARNP |
| License Number: | AP60035365 |
| Business Practice Address: | 541 W. Second Avenue Twisp, WA - 98856 |
| Business Phone Number: | 5094225700 |
| Business Fax Number: | |
| Mailing Address: | Po Box 1340, OKANOGAN |
| State: | WA |
| Postal Code: | 988401340 |
| Phone Number: | 5096892525 |
| Fax Number: | |
| NPI Enumeration Date: | 09/18/2008 |
| NPI Last Update Date: | 05/12/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LW0102X |
| License Number: | AP60035365 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | WA |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Women's Health |
| Taxonomy Definition: | |