IndividualActive
Anita Bradley, RN
NPI 1710208640 · Registered Nurse · Gallup, NM
Provider details
- NPI number
- 1710208640
- Entity type
- Individual
- Primary specialty
- Registered NurseNursing Service Providers
- Credential
- RN
- Sex
- Female
- Sole proprietor
- No
- License
- RN142634 (AZ)
Specialties & taxonomies
Nursing Service Providers
Practice location
516 Nizhoni Blvd
Gallup, NM 87301-5748
Phone: (505) 722-1000
Fax: (505) 722-1310
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 1337
Gallup, NM 87305-1337
Registry dates
- Enumerated
- 2010-06-15
- Last updated
- 2010-06-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.