MRS. AMY LYNN BRADBERY RN FNP-C NPI 1679825640

NPI Information

NPI: 1679825640
Provider Name: MRS. AMY LYNN BRADBERY, RN, FNP-C
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

Address:
910 E HOUSTON ST STE 100
TYLER, TX
ZIP 75702
Phone: (903) 526-4463
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MRS. Amy Lynn Bradbery, RN, FNP-C is a family nurse practitioner in Tyler, TX. MRS. Amy Lynn Bradbery, RN, FNP-C NPI is 1679825640. 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:

910 E HOUSTON ST STE 100
TYLER, TX
ZIP 75702-363
Phone: (903) 526-4463

The enumeration date for this NPI number is 10/15/2012 and was last updated on 3/21/2013.

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	692643	TEXAS	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	311184101	MEDICAID	TEXAS
2	262602YKYC	MEDICARE PIN	TEXAS

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

NPI Synchronization or Removal

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