AMANDA BRADLEY (NPI# 1194387035) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194387035 |
| Entity Type | Individual |
| Full Name | AMANDA BRADLEY |
| Credential | APNP |
| Practice Address |
3802 Oakwood Mall Dr Eau Claire WI 54701-3016 |
| Mailing Address |
2244 Jingle Ct Eau Claire WI 54703-1595 |
| Practice Telephone | 7158399280 |
| Enumeration Date | 2019-07-01 |
| Last Update Date | 2019-07-01 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP2300X |
Nurse Practitioner Specialization: Primary Care |
9327-33 | WI | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780003079 | Amanda Bradley | Behavioral Analyst | 510 Whispering Wind Dr Ste 110, Tracy, CA 95377-8119 | 2014-04-15 |
| 1609213818 | Amanda Nirah Bradley | Counselor | 8915 Sw Center St Tigard, Tigard, OR 97223 | 2013-05-29 |
| 1326698283 | Amanda Jo Bradley | Nurse's Aide | Kayenta Health Center, Us Hwy 160 M.p. 394.3, Kayenta, AZ 86033 | 2019-09-12 |
| 1710450531 | Amanda Bradley | Nurse Practitioner | 1717 6th Ave S, Birmingham, AL 35233-1801 | 2019-01-03 |
| 1811498751 | Amanda Bradley | Licensed Vocational Nurse | 3330 Fannin St, Beaumont, TX 77701-3801 | 2018-02-26 |
| 1639572126 | Amanda Bradley | Counselor | 18750 N 6750 E, Mount Pleasant, UT 84647-2309 | 2014-09-29 |
| 1679976286 | Amanda Bradley | Pharmacist | 2125 Cloverdale Ave, Winston Salem, NC 27103-2506 | 2014-09-28 |
| 1851534606 | Amanda Bradley | Nurse Practitioner | 207 Elk Ave S, Fayetteville, TN 37334-3051 | 2009-04-09 |
| 1801035498 | Amanda Lee Bradley | Counselor | 2325 S Harvard Ave, Tulsa, OK 74114-3300 | 2009-02-05 |
| 1669623740 | Amanda B Bradley | Nurse Practitioner | 5201 Harry Hines Blvd, Dallas, TX 75235-7708 | 2008-10-07 |
| Street Address |
3802 OAKWOOD MALL DR |
| City | EAU CLAIRE |
| State | WI |
| Zip Code | 54701-3016 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245201532 | Kristin Anne Severson | Internal Medicine | 3802 Oakwood Mall Dr, Eau Claire, WI 54701 | 2006-01-27 |
| 1720630395 | Carly L Overgard | Nurse Practitioner | 3802 Oakwood Mall Dr, Eau Claire, WI 54701-3016 | 2019-07-12 |
| 1174082630 | Kirsten Elise Kern | Registered Nurse | 3802 Oakwood Mall Dr, Eau Claire, WI 54701-3016 | 2019-03-14 |
| 1427531912 | Brook Leah Steele | Nurse Practitioner | 3802 Oakwood Mall Dr, Eau Claire, WI 54701-3016 | 2018-09-11 |
| 1043704752 | Emily Bee | Nurse Practitioner | 3802 Oakwood Mall Dr, Eau Claire, WI 54701 | 2018-06-16 |
| 1730676537 | Molly Elizabeth Boyle-engedal | Nurse Practitioner | 3802 Oakwood Mall Dr, Eau Claire, WI 54701-3016 | 2018-04-17 |
| 1962918649 | Andrea Marie Hess | Counselor | 3802 Oakwood Mall Dr, Eau Claire, WI 54701-3016 | 2017-12-18 |
| 1649796913 | Jennifer Ann Kelash | Nurse Practitioner | 3802 Oakwood Mall Dr, Eau Claire, WI 54701-3016 | 2017-08-18 |
| 1902343114 | Marissa Wollak | Physician Assistant | 3802 Oakwood Mall Dr, Eau Claire, WI 54701-3016 | 2017-01-25 |
| 1578009692 | Sacred Heart Hospital of The Hospital Sisters of The 3rd Order of St F | Clinic/Center | 3802 Oakwood Mall Dr, Eau Claire, WI 54701-3016 | 2017-01-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649887563 | Molly Amanda Haferman | Pharmacist | 3184 London Road, Eau Claire, WI 54701 | 2020-09-24 |
| 1194375915 | Moments Hospice of Eau Claire LLC | Hospice Care, Community Based | 2263 East Ridge Center, Eau Claire, WI 54701 | 2019-09-13 |
| 1043778228 | Rita Marie Acosta | Emergency Medical Technician, Basic | 509 University Dr, Mcphee Atr, Eau Claire, WI 54701 | 2019-03-07 |
| 1619450954 | Michael Brown | Case Manager/Care Coordinator | 102 S Barstow St, Eau Claire, WI 54701 | 2018-09-12 |
| 1417436569 | Valerie Jayne Both | Social Worker | 1000 Starr Avenue, Eau Claire, WI 54701 | 2018-08-09 |
| 1023519055 | Rachel Delanois | Specialist/Technologist | Kinesiology --mcphee Physical Education Center 208, 509 University Drive, Eau Claire, WI 54701 | 2018-02-25 |
| 1427564863 | Matayla Springstroh | Specialist/Technologist | 509 University Drive, Eau Claire, WI 54701 | 2017-12-21 |
| 1265981062 | Molly Hart | Student in an Organized Health Care Education/Training Program | 509 University Dr., Eau Claire, WI 54701 | 2016-09-22 |
| 1982051918 | Renee Teigen-stary | Registered Nurse | 3440 Oakwood Hills Parkway, Eau Claire, WI 54701 | 2016-05-19 |
| 1699104059 | Susan Marie Keller | Speech-Language Pathologist | 3656 Mull Dr., Dove Healthcare - South, Eau Claire, WI 54701 | 2013-11-06 |
| Find all providers in zip 54701 | ||||
| Taxonomy Code | 363LP2300X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205436821 | Elizabeth Stevenson | Nurse Practitioner | 1021 Gilson St, Madison, WI 53715-1721 | 2020-11-01 |
| 1427678176 | Cody Cameron Brunet | Nurse Practitioner | 1002 Bultman Rd, Madison, WI 53704-8933 | 2020-04-23 |
| 1023643434 | Rochelle Allexia Codlyn | Nurse Practitioner | 2268 Manley Dr, Sun Prairie, WI 53590-9688 | 2020-03-05 |
| 1861953960 | Youa Thao | Nurse Practitioner | 132 Devonshire Ct Apt 2, Plover, WI 54467-4194 | 2019-03-29 |
| 1053886465 | Elizabeth A Jarecki | Nurse Practitioner | 3115 Lilly Rd Unit 209, Brookfield, WI 53005-7612 | 2018-10-11 |
| 1669862868 | Jami Marie Lyons | Nurse Practitioner | 234 Cashman Dr, Chippewa Falls, WI 54729-3543 | 2015-01-27 |
| 1619374816 | Melissa Kaye Miller | Nurse Practitioner | 710 W Starin Rd, Whitewater, WI 53190-1121 | 2014-12-03 |
| 1275703233 | Mary Ellen Devine Touhey | Nurse Practitioner | N79w28630 Appaloosa Ln, Hartland, WI 53029-9038 | 2008-03-06 |
| 1366636797 | Karen R. Sinnett | Nurse Practitioner | 125 W Nebraska St, Muscoda, WI 53573 | 2007-08-29 |
| 1508851239 | Rita Marie Thomas | Nurse Practitioner | 910 Fremont St, 217 Delzell Hall, Uwsp, Stevens Point, WI 54481-3105 | 2005-09-19 |
| Find all providers with the same taxonomy | ||||
| City | EAU CLAIRE |
| Zip Code | 54701 |
Please comment or provide details below to improve the information on AMANDA BRADLEY.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.