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Contact Information

ABIGAIL J BRADLEY, REGISTERED NURSE
MILE 4.2 TALKEETNA SPUR RD
TALKEETNA, AK99676
 Phone: 907-733-2273
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Medical-Surgical

163WM0705X
 

Case Manager/Care Coordinator

171M00000X
Indicates primary specialty

NPI Profile & details for ABIGAIL J BRADLEY · (Female)

NPI Number 1366473134
Status Active
Credentials REGISTERED NURSE
Entity Individual
Enumeration date 07/06/2006
Last updated 02/17/2010 - About 16 years ago
Sole proprietor 1 No
Identifiers
  • AK License # 23038
  • AK License # CM7787
  • AK Medicaid CM7787
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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