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Individual
STEPHANIE BRADLEY
Active
Individual
STEPHANIE BRADLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP131307
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A006210
AR LICENSE
AR
01
—
AP131307
TX LICENSE
TX
Enumeration date
06/28/2017
Last updated
12/18/2025
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