Individual
AMY BRADDOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN,FNP-BC
Contact information
Practice address
3700 PARK EAST DR STE 450, BEACHWOOD, OH 44122-4318
(866) 849-0692
(888) 973-8821
Mailing address
PO BOX 211699, EAGAN, MN 55121-3699
(866) 849-0692
(889) 738-8218
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
019903
OH
363LF0000X
Family Nurse Practitioner
1097942
TX
363LF0000X
Family Nurse Practitioner
209030510
IL
363LF0000X
Family Nurse Practitioner
29954
SC
363LF0000X
Family Nurse Practitioner
3-002181
AL
363LF0000X
Family Nurse Practitioner
37116
TN
363LF0000X
Family Nurse Practitioner
4028977
KY
363LF0000X
Family Nurse Practitioner
5021764
NC
363LF0000X
Family Nurse Practitioner
71016306A
IN
363LF0000X
Family Nurse Practitioner
APRN11024257
FL
363LF0000X
Family Nurse Practitioner
SP031928
PA
Other
Enumeration date
08/02/2016
Last updated
03/13/2025
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