Bradley, Robert

Bradley, Robert is an sole proprietor health care provider with primary practice located at 525 S Schwartz Ave , Farmington NM 87401-5955. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as his primary health care specialty. Bradley, Robert can be contacted via phone (505) 609-2000.

Contact Information

Primary practice address
525 S Schwartz Ave Farmington NM 87401-5955
Phone: (505) 609-2000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 53-78499-102 Kansas

Profile Details

NPI number 1578183968
LBN Legal business name Bradley, Robert
Credentials APRN-CNP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 26th, 2020
Last updated Apr 26th, 2020 - about 6 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 1578183968 NPPES
Kansas Other 53-78499-102 KANSAS STATE BOARD OF NURSING

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