Individual
MARY LUCILE BRADFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NNP-BC, MN
Contact information
Practice address
1719 E 19TH AVE, DENVER, CO 80218-1235
(303) 839-7790
(303) 839-7987
Mailing address
129 ROWENA PL, LAFAYETTE, CO 80026-3134
(303) 673-9959
Taxonomy
Speciality
Code
Description
License number
State
363LN0000X
Neonatal Nurse Practitioner
Primary
125034
CO
Other
Enumeration date
05/02/2007
Last updated
11/12/2014
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