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Individual

COURTNEY BRADFORD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
AGACNP-BC

Contact information

Practice address
6750 E BAYWOOD AVE STE 301, MESA, AZ 85206-1749
(480) 835-6100
Mailing address
6343 E MAIN ST STE 12, MESA, AZ 85205-8955
(480) 835-6100

Taxonomy

Speciality
Code
Description
License number
State
207RI0011X
Interventional Cardiology Physician
271346
AZ
363LA2100X
Acute Care Nurse Practitioner
Primary
271346
AZ

Other

Enumeration date
04/12/2022
Last updated
05/12/2022
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