Individual
COURTNEY E BRADLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
707 W 3RD ST, CONNERSVILLE, IN 47331-1577
(765) 827-1164
Mailing address
240 N TILLOTSON AVE, MUNCIE, IN 47304-3988
(765) 288-1928
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
71009971A
IN
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
71009971A
IN
Other
Enumeration date
03/27/2020
Last updated
05/14/2024
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