Dana Bradford, RN

Individual provider Active NPI Community Health Registered Nurse · Linden, TN

NPI 1932655818 · NPPES record last updated Aug 30, 2016

Key facts

NPI
1932655818
Entity type
Individual (NPI type 1)
Primary specialty
Community Health Registered Nurse 163WC1500X
License
0000162773 (TN)
Practice address
31 Medical Dr
Linden, TN 37096-3326
Phone
(931) 589-2138
Fax
(931) 589-5414
NPI assigned
Aug 30, 2016
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
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
0000162773TNMDCommunity Health Registered Nurse

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health Registered Nurse 163WC1500X 0000162773 TN Yes

Addresses

Primary practice location

31 Medical Dr
Linden, TN 37096-3326

Mailing address

31 Medical Dr
Linden, TN 37096-3326
Phone (931) 589-2138

Other providers in Linden, TN

All providers in Linden, TN · Community Health Registered Nurse in Tennessee

Sources for this page

Verify at the official NPI Registry.