Individual provider · NPI-1
Louanna Marie Bradley, M.S., A.P.N-C
Nurse Practitioner, Family · Rock Springs, WY
NPI number1295830743
StatusActive
Last updated in NPPESJan 9, 2008
Details
- NPI
- 1295830743
- Entity type
- Individual (NPI-1)
- Name
- Louanna Marie Bradley
- Credential
- M.S., A.P.N-C
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Sep 13, 2006
- Last updated
- Jan 9, 2008
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | 17326.0728 | WY | Yes |
Practice location
3000 College DrSuite A
Rock Springs, WY 82901-4202
Phone 307-362-1861 · Fax 307-362-1277
Mailing address
3000 College DrSuite A
Rock Springs, WY 82901-4202
Phone 307-362-1861 · Fax 307-362-1277
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