Espeseth, Bradley John

Espeseth, Bradley John is an individual health care provider with primary practice located at 516 E Nizhoni Blvd , Gallup NM 87301-5748. He recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is his primary health care specialty. Espeseth, Bradley John can be contacted via phone (505) 722-1000.

Contact Information

Primary practice address
516 E Nizhoni Blvd Gallup NM 87301-5748
Phone: (505) 722-1000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X R60407 New Mexico
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X CNP-03469 New Mexico

Profile Details

NPI number 1740463876
LBN Legal business name Espeseth, Bradley John
Credentials NP-C
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 12th, 2007
Last updated Nov 6th, 2018 - about 6 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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