Bradford, Cassie L.

Bradford, Cassie L. is an individual health care provider with primary practice located at 300 W 10Th Ave Fl 1 , Columbus OH 43210-1280. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Primary Care. Physician Assistants & Advanced Practice Nursing Providers / Primary Care is her primary health care specialty. Bradford, Cassie L. can be contacted via phone (614) 293-4448.

Contact Information

Primary practice address
300 W 10Th Ave Fl 1 Columbus OH 43210-1280
Phone: (614) 293-4448
Fax: (614) 293-3277
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X APRN.CNP.022842 Ohio
Physician Assistants & Advanced Practice Nursing Providers / Primary Care 363LP2300X APRN.CNP.022842 Ohio

Profile Details

NPI number 1356833149
LBN Legal business name Bradford, Cassie L.
Credentials APRN-CNP
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 6th, 2018
Last updated Jun 25th, 2019 - about 5 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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Identifiers

StateTypeNumberIssuer
All States NPI 1356833149 NPPES
Ohio MEDICAID 0304061

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