| Malayla Ann Bradford, DNP, FNP-BC, FNP-C | |
| 
					3415 Mcintosh Cir, Joplin, MO 64804-3651  | |
| (417) 347-4000 | |
| (417) 347-4064 | 
| Full Name | Malayla Ann Bradford | 
|---|---|
| Gender | Female | 
| Speciality | Nurse Practitioner | 
| Location | 3415 Mcintosh Cir, Joplin, Missouri | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1518699743 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 2022023904 (Missouri) | Secondary | 
| 363L00000X | Nurse Practitioner | 2022023904 (Missouri) | Primary | 
| Entity Name | Freeman-oak Hill Health System | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1679517023 PECOS PAC ID: 8325942253 Enrollment ID: O20040218000570  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Malayla Ann Bradford, DNP, FNP-BC, FNP-C Po Box 3810, Joplin, MO 64803-3810 Ph: (417) 347-3474  | Malayla Ann Bradford, DNP, FNP-BC, FNP-C 3415 Mcintosh Cir, Joplin, MO 64804-3651 Ph: (417) 347-4000  | 
Thad L Taylor, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 100 Mercy Way, Joplin, MO 64804 Phone: 417-556-2300 Fax: 417-556-2906  | |
Ashley Southern-devoe, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3401 Mcintosh Cir Ste 200, Joplin, MO 64804 Phone: 417-347-3703  | |
Kevin Michael Teel, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2829 S. Jackson Avenue, Joplin, MO 64804 Phone: 417-624-0440 Fax: 417-624-9652  | |
Brittany Ann Putt, CFNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2719 E 32nd St, Joplin, MO 64804 Phone: 417-782-5522 Fax: 417-782-5866  | |
Sandra J Tinney, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3202 Mcintosh Circle, Suite 101, Joplin, MO 64804 Phone: 417-781-9200 Fax: 417-781-9471  | |
Susan Bounous, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2613 S Main St Ste D, Joplin, MO 64804 Phone: 417-553-7920 Fax: 877-464-5922  | |
Crystal Joy Dyer, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1901 E 32nd St, Suite 20, Joplin, MO 64804 Phone: 417-781-2046 Fax: 417-781-2086  |