Individual
BRADLEY ELLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
517 E 11TH ST, NORTH PLATTE, NE 69101-2305
(308) 367-7267
Mailing address
517 E 11TH ST, NORTH PLATTE, NE 69101-2305
Taxonomy
Speciality
Code
Description
License number
State
372500000X
Chore Provider
—
—
372600000X
Adult Companion
—
—
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
06/06/2025
Last updated
06/06/2025
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