Individual
MS. NATASHA ANN BRADDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
2812 HARTFORD HWY STE 1, DOTHAN, AL 36305-4927
(334) 712-1170
(334) 460-8391
Mailing address
206 CRABAPPLE CT, REHOBETH, AL 36301-9237
(334) 796-4869
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
1-180685
AL
363LG0600X
Gerontology Nurse Practitioner
180685
AL
Other
Enumeration date
09/29/2022
Last updated
08/28/2024
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