Krisan Bradley
Technician, Other in Orange, Connecticut
1487045860- Practice location
- 25 Boston Post RD, Orange, CT 06477-3203
- Phone
- 203-859-3695
- Fax
- 203-937-2536
- Last updated
- February 6, 2015
Krisan Bradley is a Technician, Other based in Orange, CT. Krisan Bradley practices in Orange, CT. The NPI Number for Krisan Bradley is 1487045860 and holds a License No. PTN.0012061 (CT). The current practice location address for Krisan Bradley is 25 Boston Post RD, Orange, CT 06477-3203 and can be reached out via phone at 203-859-3695 and via fax at 203-937-2536.
Provider Profile Details
- NPI Number
- 1487045860
- Provider Name
- Krisan Bradley
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 25 Boston Post RD, Orange, CT 06477-3203
- Phone Number
- 203-859-3695
- Fax Number
- 203-937-2536
- Primary Taxonomy
- Technician, Other · 247200000X
- Sole Proprietor
- No
- Provider Enumeration Date
- February 6, 2015
- Last Update Date
- February 6, 2015
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 25 Boston Post RD
Orange, CT 06477-3203 - City
- Orange
- State
- Connecticut
- Zip
- 06477-3203
- Phone Number
- 203-859-3695
- Fax Number
- 203-937-2536
Provider Business Mailing Address Details
- Address
- 25 Boston Post RD
Orange, CT 06477-3203 - City
- Orange
- State
- CT
- Zip
- 06477-3203
- Phone Number
- 203-859-3695
- Fax Number
- 203-937-2536
License Information
- License Number
- PTN.0012061
- License State
- CT
- Taxonomy
- Technician, Other · 247200000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Krisan Bradley?
The NPI number of Krisan Bradley is 1487045860. It was assigned on February 6, 2015 and is currently active in the NPPES registry.
What is the specialty of Krisan Bradley?
Krisan Bradley is registered under the primary taxonomy Technician, Other (code 247200000X), licensed in CT under license number PTN.0012061.
Where does Krisan Bradley practice?
The practice location is 25 Boston Post RD, Orange, CT 06477-3203. The office can be reached at 203-859-3695 (phone) or 203-937-2536 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1487045860 directly on the NPPES registry website.