person
Charles Bradford, FNP-BC
Family Nurse Practitioner in Saint Louis, Missouri
NPI 1194281584

Charles Bradford is a Family Nurse Practitioner based in Saint Louis, MO and is specialized in Family. Charles Bradford practices in Saint Louis, MO and has the professional credentials of FNP-BC. The NPI Number for Charles Bradford is 1194281584 and holds a License No. 209.018613 (Missouri).

The current practice location address for Charles Bradford is 1201 S Grand Blvd, Saint Louis, MO and can be reached out via phone at 314-977-4440 and via fax at 314-977-3370.

Location: 1201 S Grand Blvd, Saint Louis, MO, 63110-2520
person
Provider Profile Details
NPI Number
1194281584
Provider Name
Charles Bradford
Credential
FNP-BC
Provider Entity Type
Individual
Gender
Male
Address
1201 S Grand Blvd, Saint Louis, MO, 63110-2520
Phone Number
314-977-4440
Fax Number
314-977-3370
Provider Enumeration Date
02/11/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1201 S Grand Blvd
City
State
Zip
63104-1016
Phone Number
314-977-4440
Fax Number
314-977-3370
person
Provider Business Mailing Address Details
Address
1201 S Grand Blvd
City
State
Zip
63104-1016
Phone Number
314-977-4440
Fax Number
314-977-3370
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
2017037322 (Missouri)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Gerontology
Taxonomy
License No.
209.018613 (Illinois)
Definition
Definition to come...
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