Individual
MICHAEL KRISTIAN BRADFORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ACNPC-AG
Contact information
Practice address
7829 YOUREE DR, SHREVEPORT, LA 71105-5505
(318) 797-8777
Mailing address
2624 PALMETTO DR, BOSSIER CITY, LA 71111-2031
(318) 455-0061
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
231552
LA
Other
Enumeration date
07/12/2023
Last updated
07/12/2023
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