Individual provider · Type 1 NPI

Kelsey Bradford, AGACNP

Gerontology Nurse Practitioner · Gainesville, GA

NPI number 1548749575 Active

Practice location

1211 Sherwood Park Dr NE Ste A
Gainesville, GA 30501-3444

Fax (770) 219-3209

Mailing address

PO Box 742616
Atlanta, GA 30374-2616

Specialties and licenses

TaxonomyCodeLicense
Critical Care Medicine Registered Nurse 163WC0200XRN231288 (GA)
Acute Care Nurse Practitioner 363LA2100XRN231288 (GA)
Gerontology Nurse Practitioner Primary 363LG0600XRN231288 (GA)

Gerontology Nurse Practitioner: Definition to come...

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About NPI 1548749575

Kelsey Bradford, AGACNP's National Provider Identifier is 1548749575, issued on Aug 10, 2018. The primary taxonomy on file is Gerontology Nurse Practitioner (363LG0600X), and the practice location is in Gainesville, GA. The record was last updated on Dec 9, 2020.