National Provider Identifier Database

SARA BRADLEY, FNP – NPI #1619664646
Family


Contact Information

SARA BRADLEY, FNP
1220 E POLSTON AVE
POST FALLS, ID83854-6056
Phone: 208-773-1577
Fax:
Website:
Specialty Taxonomy Code
* Family 363LF0000X

* Indicates primary specialty

NPI Profile & details for SARA BRADLEY

NPI Number 1619664646
Credentials FNP (Family Nurse Practitioner)
Entity Individual
Enumeration date 04/19/2023
Last updated 07/17/2024 - More than a year ago
Sole proprietor1 No
Identifiers
  • ID License #: 74577
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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