Individual
MS. CHRISTINE K (WANICH) BRADWAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD, RN
Contact information
Practice address
8815 GERMANTOWN A VE, SUITE 21, PHILADELPHIA, PA 19118
(215) 242-8260
Mailing address
430 LANGDALE CT, KING OF PRUSSIA, PA 19406-1648
(215) 573-3051
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
UP001057H
PA
Other
Enumeration date
03/31/2006
Last updated
04/22/2014
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