Bradley, Marie Alena
Bradley, Marie Alena is an individual health care provider with primary practice located at 2314 Monticello Pl , Edwardsville IL 62025-8006. She recently has only one registered license in Nursing Service Providers / Registered Nurse, which is considered as her primary health care specialty. Bradley, Marie Alena can be contacted via phone (618) 972-2580.Contact Information
Primary practice address
2314 Monticello Pl
Edwardsville IL 62025-8006
Phone: (618) 972-2580
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing Service Providers / Registered Nurse | 163W00000X | 041.366108 | Illinois |
| Nursing Service Providers / Registered Nurse | 163W00000X | 2013030160 | Missouri |
Profile Details
| NPI number | 1609659200 |
|---|---|
| LBN Legal business name | Bradley, Marie Alena |
| Credentials | Registered Nurse (RN) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 16th, 2023 |
| Last updated | Aug 16th, 2023 - about 3 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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