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Individual
KRISTEN BRADLEY
Active
Individual
KRISTEN BRADLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN, AGACNP-BC,RNFA
Taxonomy
Speciality
Code
Description
License number
State
163WR0006X
Registered Nurse First Assistant
804593
TX
363L00000X
Nurse Practitioner
Primary
1031536
TX
363LA2100X
Acute Care Nurse Practitioner
1031536
TX
363LA2200X
Adult Health Nurse Practitioner
1031536
TX
363LG0600X
Gerontology Nurse Practitioner
1031536
TX
Other
Enumeration date
09/20/2018
Last updated
08/06/2025
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