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Search › Idaho › 363LP2300X

Bradley Radford, FNP-BC

NPI 1871191254 · on the registry since 2020

Practice

Address
2001 S Woodruff Ave Ste 15b
Idaho Falls, ID 83404
Phone
(208) 357-4633
Organisation at this address
Club, Inc.
Ascend Llc
Michele Osmond
Suzanne Godfrey
Neurofeedback Center
Inferred from a shared address, not stated in the registry.
Clinicians at this address
48

Registry record

Primary taxonomy
363LP2300X
363LP2300X
Licence states on file
ID
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2020-10-16

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 Idaho