Bradley, Sandra Kay

Bradley, Sandra Kay is an individual health care provider with primary practice located at 1604 Rock Prairie Rd College Station Medical Center-Nicu, College Station TX 77845-8395. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Neonatal, Critical Care, which is considered as her primary health care specialty. Bradley, Sandra Kay can be contacted via phone (979) 764-5115.

Contact Information

Primary practice address
1604 Rock Prairie Rd College Station Medical Center-Nicu College Station TX 77845-8395
Phone: (979) 764-5115
Fax: (979) 764-5268
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Neonatal, Critical Care 363LN0005X 544245 Texas

Profile Details

NPI number 1679584635
LBN Legal business name Bradley, Sandra Kay
Credentials RNC, BSN, NNP
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 11th, 2006
Last updated Jul 11th, 2007 - about 17 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 1679584635 NPPES
Texas MEDICAID 96185602

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