Provider Demographics
NPI:1477173474
Name:BRADFORD, HILARY DALY (APRN)
Entity type:Individual
Prefix:
First Name:HILARY
Middle Name:DALY
Last Name:BRADFORD
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:HILARY
Other - Middle Name:J
Other - Last Name:DALY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1813 6TH AVE S RM M240
Mailing Address - Street 2:
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35233-1920
Mailing Address - Country:US
Mailing Address - Phone:205-934-6500
Mailing Address - Fax:
Practice Address - Street 1:1813 6TH AVE S ROOM M240
Practice Address - Street 2:
Practice Address - City:BIRMINGHAM
Practice Address - State:AL
Practice Address - Zip Code:35294-4102
Practice Address - Country:US
Practice Address - Phone:205-934-6500
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-04-20
Last Update Date:2024-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL1-159498363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily