Mary Lucile Bradford
Nurse Practitioner - Neonatal
1719 E 19th Ave
Denver
, Colorado 80218-1235
Mary Lucile Bradford
Nurse Practitioner - Neonatal
1719 E 19th Ave
Denver
, Colorado 80218-1235
(303) 673-9959
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About
Features
Specialties
- Nurse Practitioner - Neonatal
Languages spoken
- English
Location
First Address
- Mary Lucile Bradford
- 129 Rowena Pl
- Lafayette, CO
- Zip : 80026-3134
- Phone : (303) 673-9959
Second Address
- Mary Lucile Bradford
- 1719 E 19th Ave
- Denver, CO
- Zip : 80218-1235
- Fax : (303) 839-7987
- Phone : (303) 839-7790
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 363LN0000X | Nurse Practitioner - Neonatal | 125034 | CO |
National Provider Identifier
| NPI | 1083836910 |
|---|---|
| Provider Name | Mary Lucile Bradford |
| First Address | Lafayette, CO 80026-3134 |
| Second Address | Denver, CO 80218-1235 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 02/05/2007 |
| Last Update Date | 12/11/2014 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.