Bradlee Elizabeth Hank

Key facts

NPI

1669064614

Entity type

Individual (NPI type 1)

Primary specialty

Critical Care Medicine Registered Nurse 163WC0200X

License

152608 (IA)

Practice address

10008 County Road X61
Wapello, IA 52653-9481

Phone

(563) 260-6772

NPI assigned

Feb 10, 2021

Sex

Female

Sole proprietor

No

Medicare participation

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)

No

State licenses

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Feb 10, 2021.

{
    "created_epoch": "1612915200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612915200000",
    "number": "1669064614",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10008 COUNTY ROAD X61",
            "city": "WAPELLO",
            "state": "IA",
            "postal_code": "526539481",
            "telephone_number": "563-260-6772"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10008 COUNTY ROAD X61",
            "city": "WAPELLO",
            "state": "IA",
            "postal_code": "526539481",
            "telephone_number": "563-260-6772"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANK",
        "first_name": "BRADLEE",
        "middle_name": "ELIZABETH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-02-10",
        "last_updated": "2021-02-10",
        "certification_date": "2021-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Critical Care Medicine",
            "state": "IA",
            "license": "152608",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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All providers in Wapello, IA · Critical Care Medicine Registered Nurse in Iowa