| Kathy Y Bradford, ARNP | |
|
1420 Roosevelt Ave Ste 4, Mount Vernon, WA 98273-2687 | |
| (360) 899-4086 | |
| (360) 899-4124 |
| Full Name | Kathy Y Bradford |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Adult Health |
| Location | 1420 Roosevelt Ave Ste 4, Mount Vernon, Washington |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871802769 | NPI | - | NPPES |
| 12194699 | Other | WA | CAQH |
| 2024980 | Medicaid | WA | |
| 0296462 | Other | WA | LABOR AND INDUSTRIES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LA2200X | Nurse Practitioner - Adult Health | AP60172219 (Washington) | Primary |
| Entity Name | Cascade Clinic Walk In And Primary Care Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1609121854 PECOS PAC ID: 4486800141 Enrollment ID: O20120813000105 |
| Mailing Address | Practice Location Address |
|---|---|
| Kathy Y Bradford, ARNP 1420 Roosevelt Ave Ste 4, Mount Vernon, WA 98273-2687 Ph: (360) 899-4086 | Kathy Y Bradford, ARNP 1420 Roosevelt Ave Ste 4, Mount Vernon, WA 98273-2687 Ph: (360) 899-4086 |
Marcia Rene Kucera, ARNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1420 Roosevelt Ave Ste 4, Mount Vernon, WA 98273 Phone: 360-899-4086 Fax: 360-899-4124 | |
Elizabeth M. Holmes, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1911 E Division St, Mount Vernon, WA 98274 Phone: 360-708-9741 Fax: 360-588-4192 | |
Katherine Jane Lepere, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2101 Little Mountain Ln, Mount Vernon, WA 98274 Phone: 360-428-2622 | |
Paula Andrade Wolff, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2320 Freeway Dr, Mount Vernon, WA 98273 Phone: 360-814-6850 Fax: 360-814-6920 | |
Ann D Barshney, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1400 E Kincaid St, Mount Vernon, WA 98274 Phone: 360-428-2500 Fax: 360-428-6485 | |
Kara Joan Hawker, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 307 S 13th St Ste 300, Mount Vernon, WA 98274 Phone: 360-336-9757 Fax: 360-814-5237 | |
Emma Mary Hamilton, ARNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1420 Roosevelt Ave Ste 4, Mount Vernon, WA 98273 Phone: 360-899-4086 Fax: 360-899-4124 |