NPI Profile for BRADELLE L PADON in JUNEAU, AK.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Primary Care |
363LP2300X | 50 | Nurse Practitioner | |
Registered Nurse |
163W00000X |
| NPI # | 1427332378 |
|
| Status | Active | |
| Credentials | ANP (Adult Nurse Practitioner) | |
| Entity | Individual | |
| Enumeration date | 10/10/2011 | |
| Last updated | 10/12/2015 - About 11 years ago | |
| Sole proprietor 1 | No | |
| Identifiers |
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| Hospital affiliation(s) |
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BRADELLE L PADON
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