Individual
MRS. MARIE L BRADLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
1201 BROAD ROCK BLVD, RICHMOND, VA 23249-0001
(804) 675-5398
Mailing address
100 MCDOWELL LN, DUNDAS, VA 23938-2126
(434) 676-9886
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
0024164887
VA
Other
Enumeration date
12/22/2005
Last updated
05/19/2008
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