Katherine Elaine Bradley in Bristol - Family
Katherine Elaine Bradley - NPI 1154416329
Katherine Elaine Bradley is a Family in Bristol, Tennessee. Katherine Elaine Bradley practices all healthcare services and medical treatments related to Family. The NPI Number for Katherine Elaine Bradley is 1154416329. The last update date is 2014-09-12.
Katherine Elaine Bradley's current location address is 615 Volunteer Parkway, Bristol, Tennessee. You can contact this provider via phone number 4239893223. The mailing address for Katherine Elaine Bradley is 615 Volunteer Parkway, Bristol, Tennessee. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Katherine Elaine Bradley |
|---|---|
| Address | 615 Volunteer Parkway, Bristol, Tennessee |
| Phone Number | 4239893223 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | FNP |
NPI Number Detail
| NPI Number | 1154416329 |
|---|---|
| Provider Enumeration Date | 2006-10-04 |
| Last Updated Date | 2014-09-12 |
Provider Mailing Address Detail
| Address | 615 Volunteer Parkway |
|---|---|
| City | Bristol |
| State | Tennessee (TN) |
| Post Code | 37620 |
| Phone Number | 4239893223 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Family |
|---|---|
| Taxonomy | 363Lf0000X |
| Licence No | 17138087 |
|
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 |
|---|---|---|---|
| 4046961 | TN | -- | |
| 4401061 | TN | -- | |
| 4100703 | TN | BLUE CROSS/BLUE SHIELD | |
| TN0103 | VA | JOHN DEERE | |
| 20684999 | VA | TAX ID | |
| DA3103 | VA | RAILROAD MEDICARE |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Katherine Elaine Bradley by the Centers for Medicare & Medicaid Services?
The Katherine Elaine Bradley has been issued the NPI (National Provider Identifier) 1154416329 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please provide the complete physical location address of Katherine Elaine Bradley?
The Katherine Elaine Bradley is physically situated at 615 Volunteer Parkway, in the city of Bristol, state of TN, with the postal code 37620.
What is the Katherine Elaine Bradley's area of specialization and corresponding taxonomy classification?
The Katherine Elaine Bradley's specialty field is Family, and it falls under the taxonomy code 363Lf0000X, which categorizes healthcare providers based on their specialties.
When did the Katherine Elaine Bradley receive its 1154416329?
The Katherine Elaine Bradley was issued its 1154416329 on 2006-10-04, which is the date when the organization was assigned this unique identifier.
As of what date were the details related to Katherine Elaine Bradley most recently updated or revised?
The information pertaining to Katherine Elaine Bradley, including its address, specialty, and other relevant details, was last updated or revised on 2014-09-12.