Individual
CASEY LYNN BRADLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
39070 ALLEN ST, LIVONIA, MI 48154-4745
(734) 716-2054
Mailing address
39070 ALLEN ST, LIVONIA, MI 48154-4745
(734) 716-2054
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
4704294860
MI
Other
Enumeration date
05/02/2020
Last updated
06/09/2023
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