Individual
KATHRYN L BRADLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
18574 BRIGGS CIR, PT CHARLOTTE, FL 33948-9600
(941) 380-7132
Mailing address
18574 BRIGGS CIR, PT CHARLOTTE, FL 33948-9600
(941) 380-7132
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
4704109509
MI
367500000X
Certified Registered Nurse Anesthetist
Primary
ARNP 9255172
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1606315
—
MI
Enumeration date
07/17/2006
Last updated
09/27/2012
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