Provider Type Icon

CONNIE BRADLEY DNP APRN FNP-C NPI 1679167696


NPI Information

NPI: 1679167696
Provider Name: CONNIE BRADLEY, DNP, APRN, FNP-C
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

PECOS Registration: Yes

Address:
1024 FIRST COLONIAL RD
VIRGINIA BEACH, VA
ZIP 23454
Phone: (757) 395-2500
Get Directions

Connie Bradley, DNP, APRN, FNP-C is a family nurse practitioner in Virginia Beach, VA with 3 years of experience. Connie Bradley, DNP, APRN, FNP-C NPI is 1679167696. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: MEDICAL UNIVERSITY OF SOUTH CAROLINA COLLEGE OF MEDICINE
Graduation Year:2021

The provider's business location address is:

1024 FIRST COLONIAL RD
VIRGINIA BEACH, VA
ZIP 23454-074
Phone: (757) 395-2500

The NPI 1679167696 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 2/22/2021 and was last updated on 8/18/2021.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1363LF0000XNurse PractitionerFamily0024181539VIRGINIAYes
2163W00000XRegistered Nurse9525534FLORIDANo

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: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.