Individual
AMY BRADFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
6505 LANDMARK DR APT 300, PARK CITY, UT 84098-6044
(435) 615-3910
Mailing address
6505 LANDMARK DR APT 300, PARK CITY, UT 84098-6044
(435) 615-3910
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
53215533102
UT
Other
Enumeration date
02/14/2008
Last updated
02/14/2008
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