Megan E Bradford, NP
Nurse Practitioner in Muskegon, MI. Individual provider (NPI-1).
NPI number1710695572
StatusActive
Last updated in NPPESMay 18, 2023
Details
- NPI
- 1710695572
- Entity type
- Individual (NPI-1)
- Name
- Megan E Bradford
- Credential
- NP
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Nov 10, 2022
- Certification date
- May 18, 2023
- Last updated
- May 18, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363L00000X | Nurse Practitioner | 4704333059 | MI | Yes |
Practice location
990 Terrace St # 980Muskegon, MI 49442-3395
Phone 616-450-6921
Mailing address
17195 80th AveCoopersville, MI 49404-9461
Phone 616-450-6921
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