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Individual

BRADLEY STEPHENS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
301 HENRY ST, BUILDING B, NORTH VERNON, IN 47265-1030
(812) 352-4463
(812) 352-4203
Mailing address
10330 N MERIDIAN ST, SUITE 201, INDIANAPOLIS, IN 46290-1024

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
3008867
KY
363LF0000X
Family Nurse Practitioner
71005248A
IN

Other

Enumeration date
10/27/2014
Last updated
11/22/2023
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