Doctor Name: | CHRISTINA M BRADFORD |
NPI Number: | 1417093097 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | CRNP |
License Number: | SP009326 |
Business Practice Address: | 50 N 12th St Upper Level Lemoyne, PA - 170431428 |
Business Phone Number: | 7177375767 |
Business Fax Number: | 7177376268 |
Mailing Address: | 50 N 12th St, Upper Level LEMOYNE |
State: | PA |
Postal Code: | 170431428 |
Phone Number: | 7177375767 |
Fax Number: | 7177376268 |
NPI Enumeration Date: | 01/30/2007 |
NPI Last Update Date: | 06/16/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LA2200X |
License Number: | SP009326 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Adult Health |
Taxonomy Definition: |