| La-sheria Lamarra Bradley, APRN | |
| 
					103 Us Hwy 27 Sw, Branford, FL 32008-3048  | |
| (386) 935-3090 | |
| (386) 935-3198 | 
| Full Name | La-sheria Lamarra Bradley | 
|---|---|
| Gender | Female | 
| Speciality | Nurse Practitioner - Family | 
| Location | 103 Us Hwy 27 Sw, Branford, Florida | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1083017156 | NPI | - | NPPES | 
| 94815546063 | Medicaid | FL | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 163W00000X | Registered Nurse | RN9386592 (Florida) | Secondary | 
| 363LF0000X | Nurse Practitioner - Family | APRN11032082 (Florida) | Primary | 
| Entity Name | Trenton Medical Center Inc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1801826268 PECOS PAC ID: 2365359387 Enrollment ID: O20050428000865  | 
| Mailing Address | Practice Location Address | 
|---|---|
| La-sheria Lamarra Bradley, APRN 23476 Nw 186th Ave, High Springs, FL 32643-0673 Ph: (386) 454-0698  | La-sheria Lamarra Bradley, APRN 103 Us Hwy 27 Sw, Branford, FL 32008-3048 Ph: (386) 935-3090  | 
Jessie L Peterson, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 103 Us Highway 27 Sw, Branford, FL 32008 Phone: 386-935-3090 Fax: 386-935-3198  | |
Risa Weletcka Clayton, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 103 Us Highway 27 Sw, Branford, FL 32008 Phone: 386-935-3090 Fax: 386-935-3198  | |
Krista M Lowe, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 103 Us 27 Sw, Branford, FL 32008 Phone: 386-935-3090 Fax: 386-935-3198  | |
Stephanie Danielle Ruise, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 103 Us Highway 27 Sw, Branford, FL 32008 Phone: 386-395-3090 Fax: 386-935-3198  | |
Mrs. Kristin Hope Mcintosh, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 103 Us-27, Branford, FL 32008 Phone: 386-935-3090  | |
Lillian Prine Byrd, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 103 Us Highway 27 Sw, Branford, FL 32008 Phone: 386-935-3090 Fax: 386-935-3198  | |
James Joseph Cartwright, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 25632 83rd Rd, Branford, FL 32008 Phone: 386-854-0998  |