Individual
BRADELLE LENNI PADON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ANP
Contact information
Practice address
3245 HOSPITAL DR, JUNEAU, AK 99801-7809
(907) 463-4040
Mailing address
3100 CHANNEL DR, STE 300, JUNEAU, AK 99801-7837
(907) 463-4040
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
33465
AK
363LP2300X
Primary Care Nurse Practitioner
Primary
1411
AK
Other
Enumeration date
10/10/2011
Last updated
10/12/2015
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