MARY M BRADLEY APRN NPI 1568494318

NPI Information

NPI: 1568494318
Provider Name: MARY M BRADLEY, APRN
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

Address:
110 E SCHILLER ST
SUITE 318
ELMHURST, IL
ZIP 60126
Phone: (630) 832-1775
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Mary M Bradley, APRN is a family nurse practitioner in Elmhurst, IL. Mary M Bradley, APRN NPI is 1568494318. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

110 E SCHILLER ST
SUITE 318
ELMHURST, IL
ZIP 60126-858
Phone: (630) 832-1775

The enumeration date for this NPI number is 7/6/2006 and was last updated on 9/4/2009.

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	RN 151892 NP	GEORGIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	50BBFGF	MEDICARE ID-TYPE UNSPECIFIED	GEORGIA
2	P35397	MEDICARE UPIN	GEORGIA

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: 5/5/2024

NPI Synchronization or Removal

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