Bradley, Abigail Jane

Bradley, Abigail Jane is an individual health care provider with primary practice located at Mile 4.2 Talkeetna Spur Rd , Talkeetna AK 99676. She recently has 2 registered licenses in different health care specialties including Other Service Providers / Case Manager/Care Coordinator, Nursing Service Providers / Medical-Surgical. Nursing Service Providers / Medical-Surgical is her primary health care specialty. Bradley, Abigail Jane can be contacted via phone (907) 733-2273.

Contact Information

Primary practice address
Mile 4.2 Talkeetna Spur Rd Talkeetna AK 99676
Phone: (907) 733-2273
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Case Manager/Care Coordinator 171M00000X CM7787 Alaska
Nursing Service Providers / Medical-Surgical 163WM0705X 23038 Alaska

Profile Details

NPI number 1366473134
LBN Legal business name Bradley, Abigail Jane
Credentials REGISTERED NURSE
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 6th, 2006
Last updated Feb 17th, 2010 - about 14 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 1366473134 NPPES
Alaska MEDICAID CM7787

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