| Doctor Name: | LUZ MARINA BRADBERRY |
| NPI Number: | 1851662258 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | NP |
| License Number: | AP5240 |
| Business Practice Address: | 1914 E. Juan Sanchez Blvd #2 San Luis, AZ - 853497101 |
| Business Phone Number: | 9282832501 |
| Business Fax Number: | |
| Mailing Address: | 2155 E Ebony Dr, CHANDLER |
| State: | AZ |
| Postal Code: | 852862762 |
| Phone Number: | 9499296613 |
| Fax Number: | |
| NPI Enumeration Date: | 01/18/2012 |
| NPI Last Update Date: | 06/27/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LA2200X |
| License Number: | AP5240 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | AZ |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Adult Health |
| Taxonomy Definition: | |