Individual
BLUE E BRADLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNM, ARNP
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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