Individual
SEAN BRADLEY NINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APRN
Contact information
Practice address
802 CLARE AVE, PORTSMOUTH, OH 45662-2583
(740) 876-8449
Mailing address
140 FOREST HTS, HUNTINGTON, WV 25705-7174
(304) 634-6021
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
123499
WV
Other
Enumeration date
07/24/2025
Last updated
07/24/2025
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