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Individual

ALANA JEANNE BRADBURY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
736 S 900 E STE 203, ST GEORGE, UT 84790-7003
(435) 673-6131
Mailing address
1055 NORTH 500 WEST, ATTN CREDENTIALING, PROVO, UT 84604
(801) 429-8034
(801) 418-0941

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
6380868-4405
UT

Other

Enumeration date
10/15/2020
Last updated
11/04/2020
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