NPI | 1548698426 |
---|---|
Other Name | BRADLEY ALAN BURTON |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NJ 26NJ00661600) |
Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: DC RN1019273) |
Enumeration Date | 2013-10-31 |
Last Update Date | 2022-04-14 |