Individual provider · Type 1 NPI
Christine K. (wanich) Bradway, PhD, RN
Gerontology Nurse Practitioner · Philadelphia, PA
NPI number
1639130388
Active
Practice location
8815 Germantown A Ve, Suite 21
Philadelphia, PA 19118
Mailing address
430 Langdale Ct
King Of Prussia, PA 19406-1648
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Gerontology Nurse Practitioner Primary | 363LG0600X | UP001057H (PA) |
Gerontology Nurse Practitioner: Definition to come...
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About NPI 1639130388
Christine K. (wanich) Bradway, PhD, RN's National Provider Identifier is 1639130388, issued on Mar 31, 2006. The primary taxonomy on file is Gerontology Nurse Practitioner (363LG0600X), and the practice location is in Philadelphia, PA. The record was last updated on Apr 22, 2014.