Individual
ABIGAIL JANE BRADLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
REGISTERED NURSE
Contact information
Practice address
MILE 4.2 TALKEETNA SPUR RD, TALKEETNA, AK 99676
(907) 733-2273
Mailing address
PO BOX 984, TALKEETNA, AK 99676-0984
(907) 733-8052
Taxonomy
Speciality
Code
Description
License number
State
163WM0705X
Medical-Surgical Registered Nurse
Primary
23038
AK
171M00000X
Case Manager/Care Coordinator
CM7787
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
CM7787
—
AK
Enumeration date
07/06/2006
Last updated
02/17/2010
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