Constance M Bradford in Monticello - Family
Constance M Bradford - NPI 1003960907
Constance M Bradford is a Family in Monticello, Mississippi. Constance M Bradford practices all healthcare services and medical treatments related to Family. The NPI Number for Constance M Bradford is 1003960907. The last update date is 2023-10-03.
Constance M Bradford's current location address is 314 Main Street, Monticello, Mississippi. You can contact this provider via phone number 6013931953 and fax number 6013931954. The mailing address for Constance M Bradford is 314 Main Street, Monticello, Mississippi. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Constance M Bradford |
|---|---|
| Address | 314 Main Street, Monticello, Mississippi |
| Phone Number | 6013931953 |
| Fax Number | 6013931954 |
| Sole Proprietor | N |
| Credentials | RN, FNP-C |
NPI Number Detail
| NPI Number | 1003960907 |
|---|---|
| Provider Enumeration Date | 2007-01-22 |
| Last Updated Date | 2023-10-03 |
Provider Mailing Address Detail
| Address | 314 Main Street |
|---|---|
| City | Monticello |
| State | Mississippi (MS) |
| Post Code | 39654 |
| Phone Number | 6013931953 |
| Fax Number | 6013931954 |
Provider's Primary Taxonomy Detail
| Speciality | Family |
|---|---|
| Taxonomy | 363Lf0000X |
| Licence No | R878491 |
|
Definition: An advanced practice registered nurse expert in primary healthcare for patients of all ages. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1980539 | MS | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Constance M Bradford by the Centers for Medicare & Medicaid Services?
The Constance M Bradford has been assigned the NPI (National Provider Identifier) 1003960907. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical address where Constance M Bradford is geographically located?
The Constance M Bradford is physically situated at the following location: 314 Main Street, Monticello, MS, 39654.
What is Constance M Bradford's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Constance M Bradford is Family, and the taxonomy classification code that categorizes this area of expertise is 363Lf0000X.
On what date did the Constance M Bradford receive its 1003960907 assignment from the Centers for Medicare & Medicaid Services?
The Constance M Bradford was assigned its 1003960907 by the Centers for Medicare & Medicaid Services on 2007-01-22.
When was the information pertaining to Constance M Bradford most recently updated or revised?
The details related to Constance M Bradford, including its address, specialty, and other relevant information, were last updated or revised on 2023-10-03.
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