Individual provider · NPI-1

Callie Constance Bradford

Health Educator · Detroit, MI

NPI number1548839368
StatusActive
Last updated in NPPESJun 24, 2021

Details

NPI
1548839368
Entity type
Individual (NPI-1)
Name
Callie Constance Bradford
Sex
Female
Sole proprietor
Yes
Enumeration date
Jun 24, 2021
Certification date
Jun 24, 2021
Last updated
Jun 24, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
174H00000X Health Educator––Yes

Practice location

3031 W Grand Blvd Ste 531
Detroit, MI 48202-3008

Phone 313-664-0100 · Fax 313-664-0111

Mailing address

3031 W Grand Blvd Ste 531
Detroit, MI 48202-3008

Phone 313-664-0100 · Fax 313-664-0111

Is something wrong?

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.

Other Health Educator providers in Detroit, MI