Most Relevant Information
Provider Data
| NPI Number: | 1003026071 |
| Provider Name: | CYNTHIA S. BRADRICK RN |
| Entity Type: | Individual |
| Taxonomy Code: | 163WC1500X |
| Specialty: | Registered Nurse |
| License Number: | 53621 |
Most Important Dates
| Enumeration Date: | 05/22/2007 |
| Last Updated: | 07/08/2007 |
Provider Practice Location
1525 BLUE SPRUCE DR
FORT COLLINS
CO
805242004
Practice Location Phone/Fax
| Phone: | 9704986747 |
| Fax: | 9704986772 |
Provider Mailing Location
1208 ALPINE PL
LOVELAND
CO
805382103
Provider Mailing Phone/Fax
| Phone: | 9706694809 |
| Fax: |