Individual provider · Type 1 NPI

Colleen Ann Bradford, PNP

Nurse Practitioner · St. Louis, MO

NPI number 1164856993 Active

Practice location

456 N New Ballas Rd, Ste 304
St. Louis, MO 63141-6831

Fax (314) 567-0578

Other practice locations

  • 1035 Bellevue Ave Ste 400, Richmond Heights, MO 63117-1844 · (314) 815-8610

Specialties and licenses

TaxonomyCodeLicense
Pediatric Nurse Practitioner 363LP0200X2017036482 (MO)
Nurse Practitioner Primary 363L00000X2017036482 (MO)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1164856993

Colleen Ann Bradford, PNP's National Provider Identifier is 1164856993, issued on Aug 28, 2013. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in St. Louis, MO. The record was last updated on May 9, 2024.