Individual
MR. DANIEL C BRADBERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
110 29TH AVE N, SUITE 202, NASHVILLE, TN 37203-1401
(615) 327-7870
(615) 921-5506
Mailing address
110 29TH AVE N, SUITE 202, NASHVILLE, TN 37203-1401
(615) 327-7870
(615) 921-5506
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
178536
TN
367500000X
Certified Registered Nurse Anesthetist
Primary
21246
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Q022209
—
TN
Enumeration date
03/10/2016
Last updated
10/24/2016
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