MARY LUCILE BRADFORD NNP-BC, MN - NPI 1083836910 - Nurse Practitioner in Denver, CO

Q: What is Mary Bradford's NPI number?

The NPI number for Mary Bradford is 1083836910. It was assigned to this individual provider in the NPPES registry on May 2, 2007.

Q: What is Mary Bradford's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Neonatal, with taxonomy code 363LN0000X.

Q: When was this NPI record last updated?

The NPPES record for Mary Bradford was last updated on November 12, 2014. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Mary Lucile Bradford Nnp-bc, Mn NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARY LUCILE BRADFORD NNP-BC, MN (NPI 1083836910) is an individual neonatal provider in Denver, Colorado, licensed in Colorado (125034) and active in the NPI registry since May 2007.

NPPES Registry Identity

NPI1083836910

Entity TypeIndividualFemale

Primary Taxonomy363LN0000X

Provider Legal NameMARY LUCILE BRADFORDCredential: NNP-BC, MN

Location Address1719 E 19TH AVEDenver, CO 80218-1235

Mailing Address129 Rowena PlLafayette, CO 80026-3134 · (303) 673-9959

Phone(303) 839-7790

Fax(303) 839-7987

Sole ProprietorNo

Enumeration DateMay 2, 2007

Last NPPES UpdateNovember 12, 2014

✔ NPI 1083836910 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · NeonatalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LN0000X

License✔ Licensed in CO · 125034

1719 E 19TH AVE, Denver, CO 80218

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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. LISA MARIE GRISS MD

Pediatrics