Individual provider · Type 1 NPI

Gillian Mary Bradley, CRNP

Nurse Practitioner · Philadelphia, PA

NPI number 1972316339 Active

Practice location

3400 Spruce Street, 3 West Gates
Philadelphia, PA 19104-4238

Mailing address

1031 Fernon St
Philadelphia, PA 19148-1107

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000XSP032011 (PA)

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 1972316339

Gillian Mary Bradley, CRNP's National Provider Identifier is 1972316339, issued on Jan 29, 2025. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Philadelphia, PA. The record was last updated on Jan 29, 2025.