Bradley, Tracy
Bradley, Tracy is an individual health care provider with primary practice located at 4800 Sand Point Way Ne B-6553, Seattle WA 98105-3901. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Bradley, Tracy can be contacted via phone (206) 987-4427.Contact Information
Primary practice address
4800 Sand Point Way Ne B-6553
Seattle WA 98105-3901
Phone: (206) 987-4427
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Pediatrics | 363LP0200X | AP30004071 | Washington |
Profile Details
| NPI number | 1124151600 |
|---|---|
| LBN Legal business name | Bradley, Tracy |
| Credentials | ARNP |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 13th, 2007 |
| Last updated | Jul 8th, 2007 - about 18 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1124151600 | NPPES |
| Alaska | MEDICAID | NP071WA | |
| Alaska | MEDICAID | 807611900 | |
| Alaska | MEDICAID | 9650284 |
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