Individual
MS. TANAEYA BRADLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
4318 US 130, WILLINGBORO, NJ 08046
(609) 871-2045
Mailing address
PO BOX 95, WILLINGBORO, NJ 08046-0095
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
26NJ01437400
NJ
Other
Enumeration date
03/02/2023
Last updated
08/05/2025
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