Bradley, Nicolas

Bradley, Nicolas is an individual health care provider with primary practice located at 1301 W Parks Hwy Ste 101 , Wasilla AK 99654-6939. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Bradley, Nicolas can be contacted via phone (073) 577-7819.

Contact Information

Primary practice address
1301 W Parks Hwy Ste 101 Wasilla AK 99654-6939
Phone: (073) 577-7819
Fax: (907) 745-6573
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PADA1173 Alaska

Profile Details

NPI number 1992027940
LBN Legal business name Bradley, Nicolas
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 18th, 2010
Last updated May 11th, 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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