Individual
DAKOTA C BRADLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1001 S GEORGE ST, YORK, PA 17403-3676
(717) 812-7687
Mailing address
601 MEMORY LN, YORK, PA 17402-2231
(717) 851-1405
(717) 851-6969
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN700536
PA
367500000X
Certified Registered Nurse Anesthetist
Primary
RN700536
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1037177280001
—
PA
Enumeration date
09/25/2019
Last updated
04/16/2025
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