V Jean Bradley is a Adult Health in Fort Wayne, Indiana. V Jean Bradley practices all healthcare services and medical treatments related to Adult Health. The NPI Number for V Jean Bradley is 1770535668. The last update date is 2010-11-05.
V Jean Bradley's current location address is 7910 W Jefferson Blvd, Fort Wayne, Indiana. You can contact this provider via phone number 2604321800 and fax number 2604321804. The mailing address for V Jean Bradley is 7910 W Jefferson Blvd, Fort Wayne, Indiana. To know further, please read the information below!
Provider Profile Detail
Provider Name | V Jean Bradley |
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Address | 7910 W Jefferson Blvd, Fort Wayne, Indiana |
Phone Number | 2604321800 |
Fax Number | 2604321804 |
Sole Proprietor | N |
Credentials | NP |
NPI Number Detail
NPI Number | 1770535668 |
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Provider Enumeration Date | 2006-05-17 |
Last Updated Date | 2010-11-05 |
Provider Mailing Address Detail
Address | 7910 W Jefferson Blvd |
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City | Fort Wayne |
State | Indiana (IN) |
Post Code | 468044159 |
Phone Number | 2604321800 |
Fax Number | 2604321804 |
Provider's Primary Taxonomy Detail
Speciality | Adult Health |
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Taxonomy | 363La2200X |
Licence No | 71001398 |
Definition: An advanced practice registered nurse expert in providing primary and specialty healthcare services to adult patients. |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
---|---|---|---|
200406350 | IN | -- |
Post Comment/ Review Below
What is the unique identifier code issued to V Jean Bradley by the Centers for Medicare & Medicaid Services?
The V Jean Bradley has been assigned the NPI (National Provider Identifier) 1770535668. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Where is the V Jean Bradley located?
The V Jean Bradley is located at 7910 W Jefferson Blvd, Fort Wayne, IN 468044159.
What is the V Jean Bradley's specialty and taxonomy code?
The V Jean Bradley's specialty is Adult Health, and the corresponding taxonomy code is 363La2200X.
On what date did the V Jean Bradley receive the assignment of its 1770535668 from the Centers for Medicare & Medicaid Services?
The V Jean Bradley was issued its 1770535668 by the Centers for Medicare & Medicaid Services on 2006-05-17.
When was the information related to V Jean Bradley most recently updated or refreshed?
The details pertaining to the V Jean Bradley, including its address, specialty, and other relevant information, were last updated or refreshed on 2010-11-05.