Individual
CYNTHIA THERESA BRADFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
8260 GLADIOLUS DR, FORT MYERS, FL 33908-4156
(239) 437-5755
(239) 437-5776
Mailing address
PO BOX 102222 ATTENTION CREDENTIALING DEPARTMENT, ATLANTA, GA 30368-2222
(239) 432-8500
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN9342090
FL
363LF0000X
Family Nurse Practitioner
Primary
APRN11005128
FL
Other
Enumeration date
10/15/2019
Last updated
08/05/2024
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