Individual
JOSHUA BRADDELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
5 S WASHINGTON AVE, JERMYN, PA 18433-1121
(570) 230-0019
Mailing address
501 MADISON AVE, SCRANTON, PA 18510-2401
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
SP015185
PA
Other
Enumeration date
08/04/2015
Last updated
12/10/2020
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