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Contact Information

ROBERT BRADLEY, APRN-CNP
525 S SCHWARTZ AVE
FARMINGTON, NM87401-5955
 Phone: 505-609-2000
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Nurse Practitioner

363L00000X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for ROBERT BRADLEY · (Male)

NPI Number 1578183968
Status Active
Credentials APRN-CNP
Entity Individual
Enumeration date 04/26/2020
Last updated 04/26/2020 - About 6 years ago
Sole proprietor 1 Yes
Identifiers
  • KS License # 53-78499-102
  • KS Other 53-78499-102 KANSAS STATE BOARD OF NURSING
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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