Individual
MS. JANET M BRADSTREET
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
1845 HOLSONBACK DR, DAYTONA BEACH, FL 32117-5114
(386) 274-0500
(386) 274-0860
Mailing address
1845 HOLSONBACK DR, DAYTONA BEACH, FL 32117-5114
(386) 274-0500
(386) 274-0860
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
ARNP 9273875
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
007285900
—
FL
Enumeration date
10/24/2012
Last updated
01/17/2013
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