Individual
NICOLE BRADFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC, PMHNP-BC
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
APRN01559
RI
363LF0000X
Family Nurse Practitioner
Primary
RN2272655
MA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
APRN03768
RI
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
RN2272655
MA
Other
Enumeration date
03/29/2017
Last updated
10/17/2024
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