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Individual

BLUE E BRADLEY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
CNM, ARNP

Contact information

Practice address
541 W. SECOND AVENUE, TWISP, WA 98856
(509) 422-5700
Mailing address
PO BOX 1340, OKANOGAN, WA 98840-1340
(509) 689-2525

Taxonomy

Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
AP60035365
WA
367A00000X
Advanced Practice Midwife
Primary
AP60035365
WA

Other

Enumeration date
09/18/2008
Last updated
08/27/2019
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