Individual
EDWARD RYAN BRADLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1621 SUMMERHILL DR, KNOXVILLE, TN 37922-6258
(865) 604-0388
Mailing address
1621 SUMMERHILL DR, KNOXVILLE, TN 37922-6258
(865) 604-0388
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
181518
TN
367500000X
Certified Registered Nurse Anesthetist
Primary
31037
TN
Other
Enumeration date
06/28/2021
Last updated
01/29/2022
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