Individual provider · Type 1 NPI
Kimberly Ross Foncham Bradley, ARNP
Family Nurse Practitioner · Fort Pierce, FL
NPI number
1750773255
Active
Practice location
2940 S US Highway 1, Ste C11
Fort Pierce, FL 34982-8143
Fax (772) 464-4963
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse | 163W00000X | 9187855 (FL) |
| Family Nurse Practitioner Primary | 363LF0000X | ARNP 9187855 (FL) |
Family Nurse Practitioner: Definition to come...
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About NPI 1750773255
Kimberly Ross Foncham Bradley, ARNP's National Provider Identifier is 1750773255, issued on Feb 21, 2015. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Fort Pierce, FL. The record was last updated on Feb 16, 2022.