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Contact Information

ARIELLE M BRADLEY
802 S PARK AVE
OAK GROVE, MO64075-9322
 Phone: 660-238-9058
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Nurse Practitioner

363L00000X 50 Nurse Practitioner
 

Registered Nurse

163W00000X
Indicates primary specialty

NPI Profile & details for ARIELLE M BRADLEY · (Female)

NPI # 1467818203
Status Active
Credentials
Entity Individual
Enumeration date 01/09/2016
Last updated 01/15/2021 - About 5 years ago
Sole proprietor 1 No
Identifiers
  • MO License # 2012025049
  • MO License # 2016006906
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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