Individual
TAMMY LYNN BRADFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP
Contact information
Practice address
425 UNIVERSITY BLVD, ROUND ROCK, TX 78665-1053
(512) 509-0200
Mailing address
PO BOX 844658, DALLAS, TX 75284-4658
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
604545
TX
363LP0200X
Pediatric Nurse Practitioner
Primary
AP124085
TX
Other
Enumeration date
07/08/2013
Last updated
09/03/2019
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