Individual
MISS STACY L BRADLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
301 MCGHEE ST, MARYVILLE, TN 37801-6811
(865) 983-4582
(865) 983-4574
Mailing address
301 MCGHEE ST, MARYVILLE, TN 37801-6811
(865) 983-4582
(865) 983-4574
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
0000164558
TN
Other
Enumeration date
12/17/2008
Last updated
12/17/2008
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