Bradley, Cathy A

Bradley, Cathy A is an individual health care provider with primary practice located at 521 Main Street , Presque Isle ME 04769. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Primary Care, Physician Assistants & Advanced Practice Nursing Providers / Clinical Nurse Specialist. Physician Assistants & Advanced Practice Nursing Providers / Clinical Nurse Specialist is her primary health care specialty. Bradley, Cathy A can be contacted via phone (207) 764-9700.

Contact Information

Primary practice address
521 Main Street Presque Isle ME 04769
Phone: (207) 764-9700
Fax: (207) 764-9703
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Primary Care 363LP2300X R039083 Maine
Physician Assistants & Advanced Practice Nursing Providers / Clinical Nurse Specialist 364S00000X CNP81391 Maine

Profile Details

NPI number 1427060847
LBN Legal business name Bradley, Cathy A
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 13th, 2006
Last updated Feb 14th, 2020 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1427060847 NPPES
Maine Other 100064 ANTHEM ID#
Maine Other 3670340 ANTHEM ID#
Maine MEDICAID 252580099 ANTHEM ID#

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