Individual
TERESA NICOLE BRADLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CLC, LVN
Contact information
Practice address
708 LINE DR, GAINESVILLE, TX 76240-5130
(940) 443-2243
Mailing address
708 LINE DR, GAINESVILLE, TX 76240-5130
(940) 443-2243
Taxonomy
Speciality
Code
Description
License number
State
174N00000X
Lactation Consultant (Non-RN)
Primary
333764
—
Other
Enumeration date
04/16/2026
Last updated
04/16/2026
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