Individual
LOUANNA MARIE BRADLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., A.P.N-C
Contact information
Practice address
3000 COLLEGE DR, SUITE A, ROCK SPRINGS, WY 82901-4202
(307) 362-1861
(307) 362-1277
Mailing address
3000 COLLEGE DR, SUITE A, ROCK SPRINGS, WY 82901-4202
(307) 362-1861
(307) 362-1277
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
17326.0728
WY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
107037100
—
WY
Enumeration date
09/13/2006
Last updated
01/09/2008
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