Individual
LAURA SELDEN BRADLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
12200 WARWICK BLVD, STE 410, NEWPORT NEWS, VA 23601-2548
(757) 534-5200
(757) 534-5530
Mailing address
856 J CLYDE MORRIS BLVD, STE A, NEWPORT NEWS, VA 23601-1318
(757) 594-4006
(757) 594-2195
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
0001138716
VA
363L00000X
Nurse Practitioner
Primary
0024168288
VA
Other
Enumeration date
08/26/2009
Last updated
08/26/2009
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