Bradford, Mary Lucile

Bradford, Mary Lucile is an individual health care provider with primary practice located at 1719 E 19Th Ave , Denver CO 80218-1235. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Neonatal, which is considered as her primary health care specialty. Bradford, Mary Lucile can be contacted via phone (303) 839-7790.

Contact Information

Primary practice address
1719 E 19Th Ave Denver CO 80218-1235
Phone: (303) 839-7790
Fax: (303) 839-7987
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Neonatal 363LN0000X 125034 Colorado

Profile Details

NPI number 1083836910
LBN Legal business name Bradford, Mary Lucile
Credentials NNP-BC, MN
Entity Individual
Sole proprietor 1 No
Enumeration date May 2nd, 2007
Last updated Nov 12th, 2014 - about 10 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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