Individual
MS. NANCY C BRADDOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
311 W LINCOLN ST, STE 201, BELLEVILLE, IL 62220-1902
(618) 222-3200
(618) 222-3203
Mailing address
311 W LINCOLN ST STE 101, BELLEVILLE, IL 62220-1902
(618) 222-3200
(618) 222-3203
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
085002020
IL
363AM0700X
Medical Physician Assistant
2011035522
MO
Other
Enumeration date
03/22/2007
Last updated
09/12/2018
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us