NPI 1952167090 · live from the CMS NPI Registry
Christine Bradley, PNP
Nurse Practitioner, Pediatrics in Kansas City, MO. National Provider Identifier 1952167090, active.
NPI record
| NPI | 1952167090 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Nurse Practitioner, Pediatrics 363LP0200X |
| Practice location | 2401 Gillham Road, Attn: Provider Enrollment Department, Kansas City, MO 64108 |
| Practice phone | 816-701-5200 |
| Enumerated | February 26, 2024 |
| Last updated | February 26, 2024 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner, Pediatrics | 363LP0200X | 53-80733-121 (KS) |
| Nurse Practitioner, Pediatrics primary | 363LP0200X | 2021047184 (MO) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.