Individual
MARIE ALENA BRADLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
2314 MONTICELLO PL, EDWARDSVILLE, IL 62025-8006
(618) 972-2580
Mailing address
2314 MONTICELLO PL, EDWARDSVILLE, IL 62025-8006
(618) 972-2580
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
041.366108
IL
163W00000X
Registered Nurse
2013030160
MO
Other
Enumeration date
08/16/2023
Last updated
08/16/2023
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