Individual
MR. BRADLEY STANFORD WHY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FPMHNP
Contact information
Practice address
1423 CAPITOL TRAIL DRUMMOND PLAZA OFFICE PARK, BUILDING 1, SUITE 1107, NEWARK, DE 19707
(302) 502-3255
(302) 502-3257
Mailing address
1423 CAPITOL TRAIL DRUMMOND PLAZA OFFICE PARK, BUILDING 1, SUITE 1107, NEWARK, DE 19707
(302) 502-3255
(302) 502-3257
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
L8-0000104
DE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000000291051
—
DE
Enumeration date
11/20/2009
Last updated
05/24/2016
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