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Kristina Kay Bradford, APN
Family Nurse Practitioner in Decatur, Illinois
NPI 1023441904

Kristina Kay Bradford is a Family Nurse Practitioner based in Effingham, IL and is specialized in Family. Kristina Kay Bradford practices in Decatur, IL and has the professional credentials of APN. The NPI Number for Kristina Kay Bradford is 1023441904 and holds a License No. 209010611 (Illinois).

The current practice location address for Kristina Kay Bradford is 1800 E Lake Shore Dr, Decatur, IL and can be reached out via phone at 217-464-2966.

Location: 1800 E Lake Shore Dr, Decatur, IL, 62401-3724
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1023441904
Provider Name
Kristina Kay Bradford
Credential
APN
Provider Entity Type
Individual
Gender
Female
Address
1800 E Lake Shore Dr, Decatur, IL, 62401-3724
Phone Number
217-464-2966
Fax Number
Provider Enumeration Date
08/15/2013
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1800 E Lake Shore Dr
City
Decatur
State
Illinois
Zip
62521-3810
Phone Number
217-464-2966
Fax Number
person
Provider Business Mailing Address Details
Address
1800 E Lake Shore Dr
City
Decatur
State
Illinois
Zip
62521-3810
Phone Number
217-464-2966
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
209010611 (Illinois)
Definition
Definition to come...
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