Individual
TRACY BRADLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
4800 SAND POINT WAY NE, B-6553, SEATTLE, WA 98105-3901
(206) 987-4427
Mailing address
735 35TH AVE, SEATTLE, WA 98122-5203
(206) 323-2191
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
AP30004071
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
807611900
—
ID
05
—
9650284
—
WA
05
—
NP071WA
—
AK
Enumeration date
03/13/2007
Last updated
07/08/2007
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