Individual
CHRISTINA M BRADFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
1740 E BROAD ST, HAZLETON, PA 18201-5667
(570) 459-2901
(570) 459-6090
Mailing address
100 N ACADEMY AVE, DANVILLE, PA 17822-4903
(570) 271-6144
(570) 271-6578
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
SP009326
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1018302700001
—
PA
01
—
50068145
CAPITAL BLUE CROSS
PA
01
—
541284
COVENTRY
PA
01
—
BR1948359
HIGHMARK BLUE SHIELD
PA
Enumeration date
01/30/2007
Last updated
07/30/2020
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