National Provider Identifier Database

PATRICIA L BRADLEY, RN – NPI #1699818286
Pediatrics


Contact Information

PATRICIA L BRADLEY, RN
1233 SOUTHWEST AVENUE EXTENSION
JOHNSON CITY, TN37604-6519
Phone: 423-979-4607
Fax:
Website:
Specialty Taxonomy Code
* Pediatrics 163WP0200X

* Indicates primary specialty

NPI Profile & details for PATRICIA L BRADLEY

NPI Number 1699818286
Credentials RN (Registered Nurse)
Entity Individual
Enumeration date 02/14/2007
Last updated 07/08/2007 - About 19 years ago
Sole proprietor1 Yes
Identifiers
  • TN License #: RN0000062004
Hospital affiliation n/a

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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