Individual
MARLA J BRADLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1907 11TH ST, PORTSMOUTH, OH 45662-4531
(513) 941-4999
Mailing address
6460 HARRISON AVE STE 200, CINCINNATI, OH 45247-7958
(513) 941-4999
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN.334783
OH
163W00000X
Registered Nurse
RN294440
GA
363L00000X
Nurse Practitioner
Primary
APRN.CNP.020002
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0195825
—
OH
Enumeration date
11/07/2016
Last updated
12/03/2024
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