Louanna Marie Bradley, M.S., A.P.N-C
Individual provider Active NPI Family Nurse Practitioner · Rock Springs, WY
NPI 1295830743 · NPPES record last updated Jan 9, 2008
Key facts
- NPI
- 1295830743
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 17326.0728 (WY)
- Practice address
- 3000 College Dr
Suite a
Rock Springs, WY 82901-4202 - Phone
- (307) 362-1861
- Fax
- (307) 362-1277
- NPI assigned
- Sep 13, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Master of Science, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 17326.0728 | WY | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| New Frontier Imaging, LLC | Family | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 17326.0728 | WY | Yes |
Addresses
Primary practice location
3000 College Dr
Suite a
Rock Springs, WY 82901-4202
Mailing address
3000 College Dr
Suite a
Rock Springs, WY 82901-4202
Phone (307) 362-1861
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 107037100 | Medicaid | WY |
Other providers in Rock Springs, WY
- Mya Boren
- Michael Bowers
- Camille Leila Bowler
- Amy L Boyer
- Diana Crystle Bozner
- Benjamin Joseph Brady
- Kimberly Bramwell
- Rose Marie Branham
- Kerry A Breen
- William Robert Bridewell
All providers in Rock Springs, WY · Family Nurse Practitioner in Wyoming
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 9, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.