Search › Pennsylvania › 174N00000X
Tisa Thompson-Bradley, IBCLC
NPI 1447963400 · on the registry since 2023 · sole proprietor
Practice
- Address
- 2805 N 47th St Apt 611
Philadelphia, PA 19131 - Phone
- (610) 609-9025
- Organisation at this address
- Oasis Dental
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- 174N00000X
174N00000X
- Licence states on file
- PA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2023-01-04
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Pennsylvania