Provider Demographics
NPI:1215292628
Name:BRADLEY, ELIZABETH FRANKLIN (ANP-BC)
Entity type:Individual
Prefix:MS
First Name:ELIZABETH
Middle Name:FRANKLIN
Last Name:BRADLEY
Suffix:
Gender:F
Credentials:ANP-BC
Other - Prefix:MS
Other - First Name:ELIZABETH
Other - Middle Name:FRANKLIN
Other - Last Name:MOORE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:3443 DICKERSON PIKE
Mailing Address - Street 2:SUITE 680
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37207-2519
Mailing Address - Country:US
Mailing Address - Phone:615-865-3322
Mailing Address - Fax:615-467-6692
Practice Address - Street 1:3443 DICKERSON PIKE
Practice Address - Street 2:SUITE 680
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37207-2519
Practice Address - Country:US
Practice Address - Phone:615-865-3322
Practice Address - Fax:615-467-6692
Is Sole Proprietor?:No
Enumeration Date:2012-07-11
Last Update Date:2012-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN16680363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN16680OtherAPN NUMBER