Individual provider · Type 1 NPI
Mary Magdalena Bradley, FNP-C
Family Nurse Practitioner · Gainesville, GA
NPI number
1174057335
Active
Practice location
2022 Windward Ln Ste B2
Gainesville, GA 30501-7418
Fax (678) 717-0535
Mailing address
4144 Chatham Crest Ln
Buford, GA 30518-4916
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner | 363LF0000X | RN9410595 (FL) |
| Family Nurse Practitioner | 363LF0000X | RN9410595 (GA) |
| Family Nurse Practitioner Primary | 363LF0000X | RN098614 (GA) |
Family Nurse Practitioner: Definition to come...
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About NPI 1174057335
Mary Magdalena Bradley, FNP-C's National Provider Identifier is 1174057335, issued on Apr 14, 2017. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Gainesville, GA. The record was last updated on Oct 11, 2023.