Individual provider · NPI-1

Gina R Bradley, CNS- APN

Clinical Nurse Specialist · Houston, TX

NPI number1538338587
StatusActive
Last updated in NPPESOct 11, 2022

Details

NPI
1538338587
Entity type
Individual (NPI-1)
Name
Mrs. Gina R Bradley
Credential
CNS- APN
Sex
Female
Sole proprietor
No
Enumeration date
Feb 25, 2008
Certification date
Oct 11, 2022
Last updated
Oct 11, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
364S00000X Clinical Nurse Specialist1069949TXYes
163WN0800X Registered Nurse, Neuroscience209.006980IL

Practice location

1515 Holcombe Blvd
Houston, TX 77030-4000

Phone 713-792-6161

Mailing address

Po Box 4439
Houston, TX 77210-4439

Phone 713-792-2991

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