Tasia Bates Bradford, CRNP Valid NPI

Individual provider · Family Nurse Practitioner · Sylacauga, AL

NPI

1366999195

Type

Individual (Type 1)

Primary specialty

Family Nurse Practitioner (Nurse Practitioner)

Specialty group

Physician Assistants & Advanced Practice Nursing Providers

Taxonomy code

363LF0000X

License number

1-110150 (AL)

Sex

Female

Sole proprietor

No

Enumerated

2016-09-09

Last updated

2019-01-15