Marnetta Bradford, CRNP is a
Nurse Practitioner based in Hanover Township, Pennsylvania. Marnetta Bradford is licensed to practice in Pennsylvania (license number VP004323B) and her current practice location is
111 W End Rd, Hanover Township, Pennsylvania. She can be reached at her office (for appointments etc.) via phone at
(570) 208-4035.
NPI number for Marnetta Bradford is 1811000821 and her current mailing address is 610 Wyoming Ave, Kingston, Pennsylvania. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1811000821.
Provider's Profile
| Full Name | Marnetta Bradford |
|---|
| Gender | Female |
|---|
| Speciality | Nurse Practitioner |
|---|
| Location | 111 W End Rd, Hanover Township, Pennsylvania |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1811000821
- Provider Enumeration Date: 08/16/2006
- Last Update Date: 09/14/2021
Medical Identifiers
Medical identifiers for Marnetta Bradford such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1811000821 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 163W00000X | Registered Nurse | RN341560L (Pennsylvania) | Secondary |
| 363L00000X | Nurse Practitioner | VP004323B (Pennsylvania) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Marnetta Bradford is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Marnetta Bradford, CRNP 610 Wyoming Ave, Kingston, PA 18704-3702 Ph: (570) 288-5441 | Marnetta Bradford, CRNP 111 W End Rd, Hanover Township, PA 18706-5448 Ph: (570) 208-4035 |
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