Individual
BRADFORD NATHANIAL WHITEHEAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
1036 SHARON DR, JEFFERSONVILLE, IN 47130-4522
(812) 280-2080
Mailing address
1036 SHARON DR, JEFFERSONVILLE, IN 47130-4522
(812) 280-2080
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
71006859A
IN
363LP2300X
Primary Care Nurse Practitioner
71006859A
IN
Other
Enumeration date
02/07/2017
Last updated
02/07/2017
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