Individual
HOLLY B BRADLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
107 CATHERINE DR, ROCKY HILL, CT 06067-1097
(860) 841-0741
Mailing address
107 CATHERINE DR, ROCKY HILL, CT 06067-1097
(860) 841-0741
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
001416
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1154308609
NPI
CT
Enumeration date
12/27/2005
Last updated
08/08/2023
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