Bradley, Donna Ellen

Bradley, Donna Ellen is an individual health care provider with primary practice located at Hwy 160 Mp 394.3 , Kayenta AZ 86033-0368. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Emergency, Nursing Service Providers / Registered Nurse. Nursing Service Providers / Registered Nurse is her primary health care specialty. Bradley, Donna Ellen can be contacted via phone (928) 697-4100.

Contact Information

Primary practice address
Hwy 160 Mp 394.3 Kayenta AZ 86033-0368
Phone: (928) 697-4100
Fax: (928) 697-4029
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Emergency 163WE0003X 1075297 Kentucky
Nursing Service Providers / Registered Nurse 163W00000X 1075297 Kentucky

Profile Details

NPI number 1508498346
LBN Legal business name Bradley, Donna Ellen
Credentials Registered Nurse (RN)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 10th, 2020
Last updated Feb 10th, 2020 - about 4 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 1508498346 NPPES
Arizona Other 030073 MEDICARE OSCAR/CERTIFICATION
Arizona MEDICAID 060012 MEDICARE OSCAR/CERTIFICATION
Arizona Other HSZ045 MEDICARE OSCAR/CERTIFICATION

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