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Contact Information

COLLEEN A BRADFORD, PNP
456 N NEW BALLAS RD
STE 304
SAINT LOUIS, MO63141-6831
 Phone: 314-567-6868
 Fax: 314-567-0578
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Nurse Practitioner

363L00000X 50 Nurse Practitioner
 

Pediatrics

363LP0200X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for COLLEEN A BRADFORD · (Female)

NPI Number 1164856993
Status Active
Credentials PNP
Entity Individual
Enumeration date 08/28/2013
Last updated 05/09/2024 - About 2 years ago
Sole proprietor 1 No
Identifiers
  • MO License # 2017036482
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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