Karen Sue Bradley
Individual provider Active NPI Doula · San Tan Valley, AZ
NPI 1497094544 · NPPES record last updated Feb 10, 2013
Key facts
- NPI
- 1497094544
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Doula 374J00000X
- Practice address
- 3664 E Amarillo Way
San Tan Valley, AZ 85140-4320 - Phone
- (480) 633-5673
- NPI assigned
- Feb 10, 2013
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Doula | 374J00000X | Yes |
Addresses
Primary practice location
3664 E Amarillo Way
San Tan Valley, AZ 85140-4320
Mailing address
3664 E Amarillo Way
San Tan Valley, AZ 85140-4320
Phone (480) 633-5673
Other providers in San Tan Valley, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 10, 2013. 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.