Bradley, Louanna Marie

Bradley, Louanna Marie is an individual health care provider with primary practice located at 3000 College Dr Suite A, Rock Springs WY 82901-4202. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Bradley, Louanna Marie can be contacted via phone (307) 362-1861.

Contact Information

Primary practice address
3000 College Dr Suite A Rock Springs WY 82901-4202
Phone: (307) 362-1861
Fax: (307) 362-1277
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 17326.0728 Wyoming

Profile Details

NPI number 1295830743
LBN Legal business name Bradley, Louanna Marie
Credentials M.S., A.P.N-C
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 13th, 2006
Last updated Jan 9th, 2008 - about 18 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 1295830743 NPPES
Wyoming MEDICAID 107037100

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