Individual
MARY BETH BRADENBURG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
870 E BALTIMORE PIKE, KENNETT SQUARE, PA 19348-1842
(610) 444-9083
Mailing address
870 E BALTIMORE PIKE, KENNETT SQUARE, PA 19348-1842
(610) 444-9083
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
LG-0012472
DE
363LF0000X
Family Nurse Practitioner
Primary
SP026461
PA
Other
Enumeration date
02/06/2023
Last updated
10/17/2023
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