Individual
BRADLEY ELLIOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNP
Contact information
Practice address
731 LEIGHTON AVE STE 300, ANNISTON, AL 36207-5762
(256) 236-4121
(256) 237-5254
Mailing address
PO BOX 1765, ANNISTON, AL 36202-1765
(256) 831-8807
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
841-13229
AL
363LF0000X
Family Nurse Practitioner
1-136329
AL
Other
Enumeration date
06/17/2015
Last updated
03/21/2023
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