Individual provider · Type 1 NPI
Eddie Ruth Bradford, FNP
Family Nurse Practitioner · Lula, MS
NPI number
1366599508
Active
Practice location
777 Isle Of Capri Pkwy
Lula, MS 38644-9701
Fax (662) 337-4564
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | R659975 (MS) |
Family Nurse Practitioner: Definition to come...
About NPI 1366599508
Eddie Ruth Bradford, FNP's National Provider Identifier is 1366599508, issued on Jan 3, 2007. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Lula, MS. The record was last updated on Sep 4, 2019.