Individual
MRS. ASHLEY NICOLE BRADFISCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
2330 E MEYER BLVD STE 209, KANSAS CITY, MO 64132-1149
(816) 235-3932
Mailing address
1209 PEBBLECREEK DR APT A, WARRENSBURG, MO 64093-9514
(612) 839-8018
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
2015013644
MO
163W00000X
Registered Nurse
2148805
MN
363LA2100X
Acute Care Nurse Practitioner
Primary
2019002363
MO
Other
Enumeration date
01/24/2019
Last updated
01/24/2019
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