Individual
SHEMIKA BRADFORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
822 BELLEMEADE BLVD, GRETNA, LA 70056-7634
(504) 939-3207
Mailing address
822 BELLEMEADE BLVD, GRETNA, LA 70056-7634
(504) 939-3207
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP09055
LA
Other
Enumeration date
10/21/2016
Last updated
10/21/2016
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