Bradley Patrick in Willits - Nurse Anesthetist, Certified Registered
Bradley Patrick - NPI 1508948100
Bradley Patrick is a Nurse Anesthetist, Certified Registered in Willits, California. Bradley Patrick practices all healthcare services and medical treatments related to Nurse Anesthetist, Certified Registered. The NPI Number for Bradley Patrick is 1508948100. The last update date is 2017-06-27.
Bradley Patrick's current location address is 1 Madrone St, Willits, California. You can contact this provider via phone number 7074563100. The mailing address for Bradley Patrick is 1 Madrone St, Willits, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Bradley Patrick |
|---|---|
| Address | 1 Madrone St, Willits, California |
| Phone Number | 7074563100 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | CRNA, DNP, |
NPI Number Detail
| NPI Number | 1508948100 |
|---|---|
| Provider Enumeration Date | 2006-10-20 |
| Last Updated Date | 2017-06-27 |
Provider Mailing Address Detail
| Address | 1 Madrone St |
|---|---|
| City | Willits |
| State | California (CA) |
| Post Code | 954904225 |
| Phone Number | 7074563100 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Nurse Anesthetist, Certified Registered |
|---|---|
| Taxonomy | 367500000X |
| Licence No | R051320 |
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Definition: (1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| ME-1670 | ME | MAINE MEDICARE |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Bradley Patrick by the Centers for Medicare & Medicaid Services?
The Bradley Patrick has been issued the NPI (National Provider Identifier) 1508948100, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where Bradley Patrick's facilities are situated?
The facilities of Bradley Patrick are physically located at the following address: 1 Madrone St, Willits, CA, 954904225.
What is Bradley Patrick's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Bradley Patrick is Nurse Anesthetist, Certified Registered, and the corresponding taxonomy classification code for this specialized field is 367500000X.
On what date did the Bradley Patrick receive the assignment of its 1508948100 from the Centers for Medicare & Medicaid Services?
The Bradley Patrick was issued its 1508948100 by the Centers for Medicare & Medicaid Services on 2006-10-20.
As of what date were the Bradley Patrick's details last updated?
The information pertaining to the Bradley Patrick, including its address, specialty, and other details, was most recently updated on 2017-06-27.