Individual
JANICE HALE BRADFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
1001 S MULBERRY AVE, BUTLER, AL 36904-2813
(334) 459-4026
Mailing address
201 MONROE ST STE 1386, MONTGOMERY, AL 36104-3735
(334) 206-7959
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
1-037189
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
50501
—
AL
Enumeration date
04/09/2007
Last updated
02/11/2013
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