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Teresa Bradford

Student in an Organized Health Care Education/Training Program in Phoenix, AZ. Individual provider (NPI-1).

NPI number1396687828
StatusActive
Last updated in NPPESApr 6, 2026

Details

NPI
1396687828
Entity type
Individual (NPI-1)
Name
Teresa Bradford
Sex
Female
Sole proprietor
No
Enumeration date
Apr 6, 2026
Certification date
Apr 6, 2026
Last updated
Apr 6, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
390200000X Student in an Organized Health Care Education/Training Program––Yes

Practice location

1919 E Thomas Rd
Phoenix, AZ 85016-7710

Phone 602-933-0945

Mailing address

1919 E Thomas Rd
Phoenix, AZ 85016-7710

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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

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