Individual
MALAYLA ANN BRADFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP, FNP-BC, FNP-C
Contact information
Practice address
3415 MCINTOSH CIR, JOPLIN, MO 64804-3651
(417) 347-4000
(417) 347-4064
Mailing address
PO BOX 3810, JOPLIN, MO 64803-3810
(417) 347-3474
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
2022023904
MO
363LF0000X
Family Nurse Practitioner
2022023904
MO
Other
Enumeration date
06/27/2022
Last updated
08/09/2022
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