Individual
MEGAN E BRADFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
990 TERRACE ST # 980, MUSKEGON, MI 49442-3395
(616) 450-6921
Mailing address
17195 80TH AVE, COOPERSVILLE, MI 49404-9461
(616) 450-6921
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
4704333059
MI
Other
Enumeration date
11/10/2022
Last updated
05/18/2023
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