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Contact Information

SALLY V BRADFORD, CNS
5999 BURKE COMMONS RD
KAISER PERMANENTE BURKE MEDICAL CENTER
BURKE, VA22015-2880
 Phone: 703-249-7700
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Psychiatric/Mental Health, Adult

364SP0809X 89 Certified Clinical Nurse Specialist
 

Psychiatric/Mental Health, Adult

163WP0809X
Indicates primary specialty

NPI Profile & details for SALLY V BRADFORD · (Female)

NPI Number 1053472506
Status Active
Credentials CNS
Entity Individual
Enumeration date 12/12/2006
Last updated 12/06/2012 - About 14 years ago
Sole proprietor 1 No
Identifiers
  • VA License # 0001045345
  • VA License # 0015000196
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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