Individual
ANNE BRADFORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3303 N 125TH ST, OMAHA, NE 68164-4286
(402) 498-2903
Mailing address
3303 N 125TH ST, OMAHA, NE 68164-4286
(402) 498-2903
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
39021
NE
Other
Enumeration date
10/05/2018
Last updated
10/05/2018
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