NPI 1053472506 · live from the CMS NPI Registry
Sally V Bradford, CNS
Clinical Nurse Specialist, Psych/Mental Health, Adult in Burke, VA. National Provider Identifier 1053472506, active.
NPI record
| NPI | 1053472506 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Clinical Nurse Specialist, Psych/Mental Health, Adult 364SP0809X |
| Practice location | 5999 Burke Commons Rd, Kaiser Permanente Burke Medical Center, Burke, VA 22015 |
| Practice phone | 703-249-7700 |
| Mailing address | 2101 E Jefferson St, Kaiser Permanente Medicare Enrollment, Rockville, MD 20852 |
| Enumerated | December 12, 2006 |
| Last updated | December 6, 2012 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Nurse Specialist, Psych/Mental Health, Adult primary | 364SP0809X | 0015000196 (VA) |
| Registered Nurse, Psych/Mental Health, Adult | 163WP0809X | 0001045345 (VA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.