Individual
SYBIL A BRADLEY-DALLAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
2138 LANGHORNE SQUARE, LYNCHBURG, VA 24501
(434) 845-3178
(434) 846-8346
Mailing address
2207 PETERS CREEK ROAD, ROANOKE, VA 24017-1618
(540) 562-1567
Taxonomy
Speciality
Code
Description
License number
State
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
Primary
0024082899
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010014786
—
VA
Enumeration date
09/07/2006
Last updated
07/08/2007
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