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Holly Bradford, NP
Nurse Practitioner in Michigan City, Indiana
NPI 1710439047

Holly Bradford is a Nurse Practitioner based in Detroit, IN. Holly Bradford practices in Michigan City, IN and has the professional credentials of NP. The NPI Number for Holly Bradford is 1710439047 and holds a License No. 28203078A (Indiana).

The current practice location address for Holly Bradford is 8865 W 400 N Ste 120, Michigan City, IN and can be reached out via phone at 219-878-5031 and via fax at 219-879-5498. You can also correspond with Holly Bradford through the mailing address at PO BOX 781076, DETROIT, MI - 48278-1076 (mailing address contact number: 317-528-4800).

Location: 8865 W 400 N Ste 120, Michigan City, IN, 48278-1076
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1710439047
Provider Name
Holly Bradford
Credential
NP
Provider Entity Type
Individual
Gender
Female
Address
8865 W 400 N Ste 120, Michigan City, IN, 48278-1076
Phone Number
219-878-5031
Fax Number
219-879-5498
Provider Enumeration Date
11/03/2016
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
201407950 05 IN
institution
Provider Business Practice Location Address Details
Address
8865 W 400 N Ste 120
City
Michigan City
State
Indiana
Zip
46360-9011
Phone Number
219-878-5031
Fax Number
219-879-5498
person
Provider Business Mailing Address Details
Address
8865 W 400 N Ste 120
City
Michigan City
State
Indiana
Zip
46360-9011
Phone Number
219-878-5031
Fax Number
219-879-5498
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
-
Taxonomy
363L00000X
License No.
71006753A (Indiana)
Definition
(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 with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
28203078A (Indiana)
Definition
Definition to come...
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