Female

Bridgett R. Bradley

In Home Supportive Care Agency in Memphis, TN(View on Map)

Full Name

Bridgett Renee Bradley

NPI Number

1376040311

NPI Type

Individual Provider

Gender

Female

Enumeration Date

04/06/2018

Specialties

(Taxonomies)

Code

253Z00000X
251J00000X
385H00000X

Primary Taxonomy

Yes
No
No

Licenses

State

Tennessee

License Number

I000000022060

Contact
Information

Purpose

Mailing
Location

Address

PO BOX 343168
1674 DELANO AVE UNIT 233

City

Bartlett
Memphis

State

TN
TN

Postal Code

38184-3168
38127-8515

Country

US
US

Telephone Number

N/A
(901) 318-6967

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 05/15/2024

Provider Address

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