Shundra Bradley

NPI 1437314705 - Nurse Practitioner - 363LA2100X

NPI Details
NPI 1437314705
Gender Female
Enumeration Date 07/25/2008
Last Updated 07/25/2008
Entity Type Individual
Active Over 8 years ago
Practice Location
1 JEFFERSON BARRACKS DR
SAINT LOUIS MO, 63125-4181, US
Phone (314) 652-4100
Fax
Business Location
260 TURNBERRY PL
F
SAINT PETERS MO, 63376-4475, US
Phone
Fax
Toxanomy
Taxonomy Code 363LA2100X
License State Missouri
License Number 2007000437
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According to our database, Shundra Bradley NPI is 1437314705, taxonomy code is 363LA2100X and license number is 2007000437, license state is located at Missouri. Shundra Bradley physically located at 1 Jefferson Barracks Dr, Saint Louis MO, 63125-4181. NPI Number Shundra Bradley has the Individual type.

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1437314705 NPI number is provided on an as is basis without warranty of any kind. 1437314705 is maintained by the National Plan & Provider Enumeration System. The contents of Shundra Bradley are for informational purposes only.