LAURA BRADIGAN (NPI# 1407464522) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407464522 |
| Entity Type | Individual |
| Full Name | LAURA BRADIGAN |
| Practice Address |
1744 Grand Ave Unit 2 Long Beach CA 90804-2022 |
| Practice Telephone | 6143069228 |
| Mailing Telephone | 6143069228 |
| Enumeration Date | 2020-07-15 |
| Last Update Date | 2020-07-15 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
95014597 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1744 GRAND AVE UNIT 2 |
| City | LONG BEACH |
| State | CA |
| Zip Code | 90804-2022 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821616673 | Exporter Medical LLC | Durable Medical Equipment & Medical Supplies | 2990 E. Pacific Coast Hwy., Suite B, Long Beach, CA 90804 | 2020-07-08 |
| 1700436094 | Magdalema Ballesteros-reynolds | Technician | 844 Ohio Ave, Long Beach, CA 90804 | 2019-09-18 |
| 1093365447 | Edelmira D Sanchez | Technician | 837 Bennett Ave, Long Beach, CA 90804 | 2019-09-18 |
| 1164980165 | Carlton Fortenberry | Behavior Technician | 775 Obispo Ave., Unit 1, Long Beach, CA 90804 | 2019-03-08 |
| 1427522812 | Western Dental Services, Inc. | Dentist | 2306 E 7th Street, Long Beach, CA 90804 | 2019-01-18 |
| 1124557657 | Keav Siv Khov | Social Worker | 4510 East Pacific Coast Highway, Suite 600, Long Beach, CA 90804 | 2017-06-08 |
| 1265966576 | Kensie Hoag | Social Worker | 4510 E PCh, Suite 305, Long Beach, CA 90804 | 2017-04-13 |
| 1528424389 | Rem Pacific Sleep Center, Inc. | Specialist/Technologist | 2990 E. Pacific Coast Hwy, Suite A, Long Beach, CA 90804 | 2016-01-10 |
| 1417326935 | Kelli Ann Carlson | Student in an Organized Health Care Education/Training Program | 2025 E. 7th Street, Long Beach, CA 90804 | 2015-09-15 |
| 1487059010 | Kenenth K. Lee, D.d.s., Inc. | Preferred Provider Organization | 4755 E. Anaheim St., Long Beach, CA 90804 | 2014-10-24 |
| Find all providers in zip 90804 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497379333 | Gloria Jean Campbell | Nurse Practitioner | 5055 E Garford St Apt 6, Long Beach, CA 90815-2861 | 2020-06-06 |
| 1548654650 | Diane Cervelli | Nurse Practitioner | 1030 E 1st St, 3, Long Beach, CA 90802-5551 | 2015-03-26 |
| 1346583390 | Joanne Elizabeth Armenia | Nurse Practitioner | 4901 E Carson St, Long Beach, CA 90808-1706 | 2013-03-28 |
| 1619238680 | Rosemarie Thompson | Nurse Practitioner | 125 E Market St, Long Beach, NY 11561-2132 | 2012-06-06 |
| 1770882912 | Diane Morgan | Nurse Practitioner | 330 E Broadway, Apt. 203, Long Beach, NY 11561-4323 | 2011-03-26 |
| 1174786875 | Lea Lynette Pascual | Nurse Practitioner | 2491 East Anaheim Street, # 3, Long Beach, CA 90804 | 2008-07-03 |
| 1063691061 | Riza Alma Vinzon | Nurse Practitioner | 4401 Atlantic Ave Ste 202, Long Beach, CA 90807 | 2007-10-26 |
| 1275736191 | Judith Ruth Wilson | Nurse Practitioner | 1645 Clark Ave Unit 116, Long Beach, CA 90815-3807 | 2007-06-07 |
| 1811005473 | Anita Cordova | Nurse Practitioner | 5901 East Seventh Street, Long Beach, CA 90822 | 2006-08-25 |
| 1538127477 | Rose Marie Semingson | Nurse Practitioner | 2600 Redondo Ave., Long Beach, CA 90806-2328 | 2006-05-02 |
| Find all providers in LONG BEACH | ||||
| City | LONG BEACH |
| Zip Code | 90804 |
Please comment or provide details below to improve the information on LAURA BRADIGAN.
| 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.