NPI 1992523955 · live from the CMS NPI Registry
Heather Bradford, DNP, APRN, CPNP-PC
Nurse Practitioner, Pediatrics in Smithville, TN. National Provider Identifier 1992523955, active.
NPI record
| NPI | 1992523955 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Nurse Practitioner, Pediatrics 363LP0200X |
| Practice location | 612 S Congress Blvd Ste A, Smithville, TN 37166 |
| Practice phone | 931-626-9339 |
| Mailing address | 1030 S Mountain St, Smithville, TN 37166 |
| Enumerated | September 30, 2024 |
| Last updated | September 30, 2024 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner, Pediatrics primary | 363LP0200X | 37253 (TN) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.