Individual provider · Type 1 NPI

Angela Bradford

Nurse Practitioner · Alexandria, MN

NPI number 1669054888 Active

Practice location

111 17th Ave E
Alexandria, MN 56308-5273

Fax (320) 759-4390

Mailing address

19192 Riverview Ln NE
New London, MN 56273-9764

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000X8126 (MN)

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 1669054888

Angela Bradford's National Provider Identifier is 1669054888, issued on Apr 27, 2021. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Alexandria, MN. The record was last updated on Oct 14, 2025.