BRADLEY REATHERFORD
Nurse Anesthetist, Certified Registered
Active
Individual
NPI: 1326288812
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Registered Nurse | 163W00000X | No | 041334740 (IL) |
| Nurse Anesthetist, Certified Registered | 367500000X | Yes | 209007657 (IL) |
Frequently Asked Questions
NPI 1326288812 is the National Provider Identifier for BRADLEY REATHERFORD, a Nurse Anesthetist, Certified Registered provider located in Peoria, IL. This NPI was enumerated on February 24, 2009.
BRADLEY REATHERFORD practices at 221 NORTHEAST AVE, Peoria, IL 61636.
Quick Facts
- NPI
- 1326288812
- Type
- Individual
- Enumerated
- Feb 24, 2009
- Last Updated
- Jul 12, 2009
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