Individual
MRS. CORINTH LACOLE BRADLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
1800A FREDERICK BLVD, PORTSMOUTH, VA 23707-4618
(757) 337-6000
Mailing address
1416 WATERWAY COVE DR, WELLINGTON, FL 33414-5759
(757) 828-2631
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
0024198246
VA
363L00000X
Nurse Practitioner
Primary
9491753
FL
Other
Enumeration date
06/27/2026
Last updated
08/14/2026
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