Individual
MRS. MIRANDA BRADFIELD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
8338 E 21ST ST N, WICHITA, KS 67206-2979
(316) 215-8339
Mailing address
1147 N FOREST AVE, WICHITA, KS 67203-3532
(316) 304-3329
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
53-81155-111
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
53-81155-111
NURSE PRACTITIONER LICENSE NUMBER
KS
Enumeration date
05/31/2022
Last updated
05/31/2022
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