Bradbury, Marisa

Bradbury, Marisa is an sole proprietor health care provider with primary practice located at 5322 Ladysmith Rd , Ruther Glen VA 22546-1325. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as her primary health care specialty. Bradbury, Marisa can be contacted via phone (804) 547-4125.

Contact Information

Primary practice address
5322 Ladysmith Rd Ruther Glen VA 22546-1325
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 0024184442 Virginia

Profile Details

NPI number 1093444093
LBN Legal business name Bradbury, Marisa
Credentials PMHNP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 7th, 2022
Last updated Jun 7th, 2022 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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