Individual
ASHLEY NICHOLE BRADBURY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
456 CRANBERRY DR, BECKLEY, WV 25801-8560
(304) 255-6404
(304) 255-6494
Mailing address
PO BOX 1472, BECKLEY, WV 25802-1472
(304) 255-6404
(304) 255-6494
Taxonomy
Speciality
Code
Description
License number
State
207QH0002X
Hospice and Palliative Medicine (Family Medicine) Physician
APRN-CNP113172
WV
363L00000X
Nurse Practitioner
Primary
APRN-CNP113172
WV
Other
Enumeration date
06/22/2022
Last updated
08/04/2022
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