Individual
STEPHANIE M BRADER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
300 POLARIS PKWY STE 3000, WESTERVILLE, OH 43082-7994
(614) 533-3354
(614) 533-3496
Mailing address
5450 FRANTZ RD STE 360, DUBLIN, OH 43016-4141
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
NP-13502
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0076743
—
OH
Enumeration date
12/05/2012
Last updated
06/28/2019
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