| NPI | 1639573421 |
|---|---|
| Former Name | KIMBERLY A BRADHAM |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: ME CNP211108) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: VA 0024172127) |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: ME CNP211108) | |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: VA 0024172127) | |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: VA 0024172127) | |
| Enumeration Date | 2014-10-22 |
| Last Update Date | 2023-05-15 |