Individual
MS. PAMELA DENISE BRADLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
AGNP
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
151422
NC
363LA2200X
Adult Health Nurse Practitioner
Primary
5010113
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
151422
REGISTERED NURSE
NC
Enumeration date
08/07/2017
Last updated
09/25/2025
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