Individual
MARNETTA BRADFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
111 W END RD, HANOVER TOWNSHIP, PA 18706-5448
(570) 208-4035
(570) 208-4039
Mailing address
610 WYOMING AVE, KINGSTON, PA 18704-3702
(570) 288-5441
(570) 288-5842
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN341560L
PA
363L00000X
Nurse Practitioner
Primary
VP004323B
PA
Other
Enumeration date
08/16/2006
Last updated
09/14/2021
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