Individual
CALLIE BRADLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
10 S 2000 E, SALT LAKE CITY, UT 84112-5880
(801) 581-3414
Mailing address
724 S MASON ST, HARRISONBURG, VA 22807-1050
(435) 559-4653
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
0024186726
VA
363LF0000X
Family Nurse Practitioner
8635924-4405
UT
Other
Enumeration date
06/21/2016
Last updated
09/20/2024
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