Individual
BRADLEY JAMES DOUGLAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ACNP-BC
Contact information
Practice address
9500 EUCLID AVE, CLEVELAND, OH 44195-0001
(216) 444-0261
Mailing address
16068 BRINBOURNE AVE, MIDDLEBURG HEIGHTS, OH 44130-5423
(440) 781-3985
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
RN.321690
OH
Other
Enumeration date
07/16/2012
Last updated
07/16/2012
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