Individual
HEIDI BRADLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
1441 W CENTRAL PARK AVE, DAVENPORT, IA 52804-1707
(563) 888-6275
(563) 324-4368
Mailing address
1441 W CENTRAL PARK AVE, DAVENPORT, IA 52804-1707
(563) 888-6275
(563) 324-4368
Taxonomy
Speciality
Code
Description
License number
State
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
078114
IA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
G078114
IA
Other
Enumeration date
04/30/2014
Last updated
05/01/2014
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