CALLIE BRADLEY APRN NPI 1053761924

NPI Information

NPI: 1053761924
Provider Name: CALLIE BRADLEY, APRN
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

Organization: MEDEXPRESS URGENT CARE ARKANSAS PA

PECOS Registration: Yes

Address:
10 S 2000 E
SALT LAKE CITY, UT
ZIP 84112
Phone: (801) 581-3414
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Callie Bradley, APRN is a family nurse practitioner in Salt Lake City, UT with 8 years of experience. Callie Bradley, APRN NPI is 1053761924. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: UNIVERSITY OF UTAH SCHOOL OF MEDICINE
Graduation Year:2016

The provider's business location address is:

10 S 2000 E
SALT LAKE CITY, UT
ZIP 84112-880
Phone: (801) 581-3414

The NPI 1053761924 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 6/21/2016 and was last updated on 6/21/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LF0000X	Nurse Practitioner	Family	8635924-4405	UTAH	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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