Individual
LAWANA BRADLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSN, APRN, APN-C
Contact information
Practice address
296 LAKE RD, ATKINS, AR 72823-7165
(479) 857-9229
Mailing address
296 LAKE RD, ATKINS, AR 72823-7165
(479) 857-9229
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
122366
AR
363LP2300X
Primary Care Nurse Practitioner
122366
AR
Other
Enumeration date
10/23/2019
Last updated
10/31/2022
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