Individual provider · Type 1 NPI
Laura Beth Bradford, NP
Family Nurse Practitioner · San Jacinto, CA
NPI number
1972149045
Active
Practice location
323 Center Grove Way
San Jacinto, CA 92582-2726
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | 95013342 (CA) |
Family Nurse Practitioner: Definition to come...
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About NPI 1972149045
Laura Beth Bradford, NP's National Provider Identifier is 1972149045, issued on Nov 22, 2019. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in San Jacinto, CA. The record was last updated on Nov 22, 2019.