Individual
MRS. JULIE ELLEN BRADFORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSN, FNP-BC
Contact information
Practice address
26908 DETROIT RD, STE. 200, WESTLAKE, OH 44145-2398
(440) 250-8660
(440) 250-8639
Mailing address
26908 DETROIT RD, STE. 301, WESTLAKE, OH 44145-2398
(440) 617-1823
(440) 617-0884
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
13776
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
008717
—
OH
Enumeration date
11/15/2012
Last updated
11/13/2020
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