Individual
TASIA BATES BRADFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
209 W SPRING ST STE 102, SYLACAUGA, AL 35150
(256) 401-4686
(256) 401-4520
Mailing address
209 W SPRING ST STE 102, SYLACAUGA, AL 35150-2974
(256) 401-4686
(256) 401-4520
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
1-110150
AL
Other
Enumeration date
09/09/2016
Last updated
01/15/2019
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