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Individual

AYSHEA JANAE BRADFORD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MSN, CRNP, FNP-BC

Contact information

Practice address
810 SAINT VINCENTS DR, BIRMINGHAM, AL 35205-1601
(205) 939-7000
Mailing address
PO BOX 19174, BIRMINGHAM, AL 35219-9174

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
1-133451
AL
363LF0000X
Family Nurse Practitioner
Primary
1-133451
AL

Other

Enumeration date
10/30/2020
Last updated
11/12/2024
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