Whalio Doctors

NPI 1558657999

Natalie Shea Bradford, PAC

Practitioner Medical Physician Assistant Benton, AR

Practice location

Address
819 W Carpenter St, Benton, AR 72015-3349
Phone
(501) 778-8264
Fax
(501) 778-7360

Registered specialties

Medical Physician Assistant Primary
Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363AM0700X Licence PA-479 (AR)

Registry record

NPI
1558657999
Entity type
Individual
Sex (as registered)
Female
NPI issued
23 Jun 2011
Record last updated
10 Jun 2012

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.