Crystal Bradley, FNP-C, FPA
NPI #1306447263 in Glen Carbon, Illinois
Provider Information
- NPI Number
- 1306447263
- Entity Type
- Individual
- Name
- Crystal Bradley, FNP-C, FPA
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Nurse Practitioner - Family
- Credential
- FNP-C, FPA
- Enumeration Date
- Nov 5, 2020
- Last Updated
- Sep 4, 2024
Practice Location
- Address
- 4260 S STATE ROUTE 159 STE 1
- City
- Glen Carbon
- State
- Illinois
- ZIP Code
- 62034-3201
- Phone
- (872) 713-7614
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner - Family — Family |
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