Individual
AIYANA BRADFORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
124 DONALD LN, JOHNSTOWN, PA 15904-2815
(814) 915-4539
Mailing address
PO BOX 432, PRIMOS SECANE, PA 19018-0432
(610) 580-5180
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
SP032005
PA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
26NJ15430100
NJ
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
SP032005
PA
Other
Enumeration date
09/20/2025
Last updated
05/07/2026
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