Individual
SARAH R BRADLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
1800 LOMBARD ST, PHILADELPHIA, PA 19146-1414
(215) 893-6543
Mailing address
1800 LOMBARD ST, PHILADELPHIA, PA 19146-1414
(215) 893-6543
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
SP009425
PA
363LG0600X
Gerontology Nurse Practitioner
SP009413
PA
Other
Enumeration date
05/07/2007
Last updated
05/08/2017
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