Individual
BRADLEY THOMAS YEATTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP
Contact information
Practice address
305 N MAIN ST, GRETNA, VA 24557-4176
(434) 656-2224
Mailing address
3300 CHURCH RD, JAVA, VA 24565-4426
(434) 710-0108
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0024177298
VA
363LF0000X
Family Nurse Practitioner
Primary
0024177298
VA
Other
Enumeration date
02/14/2019
Last updated
03/30/2026
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