Ms Nancy Carol Bradbury, LCSW | |
54835 Avenida Herrera, La Quinta, CA 92253-3778 | |
(760) 777-1902 | |
Not Available |
Full Name | Ms Nancy Carol Bradbury |
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Gender | Female |
Speciality | Social Worker - Clinical |
Location | 54835 Avenida Herrera, La Quinta, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1861725442 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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1041C0700X | Social Worker - Clinical | 22690 (California) | Primary |
Entity Name | Southern California Permanente Medical Group |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1770515280 PECOS PAC ID: 6002729175 Enrollment ID: O20031110000678 |
Mailing Address | Practice Location Address |
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Ms Nancy Carol Bradbury, LCSW Po Box 1114, La Quinta, CA 92247-1114 Ph: (760) 777-1902 | Ms Nancy Carol Bradbury, LCSW 54835 Avenida Herrera, La Quinta, CA 92253-3778 Ph: (760) 777-1902 |
Ms. Carol Sue Cornell, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 81841 Thoroughbred Trl, La Quinta, CA 92253 Phone: 760-619-2491 | |
Mr. Robert A Marquez, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 53848 Avenida Juarez, La Quinta, CA 92253 Phone: 760-698-8115 | |
Katherine Carrranza, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 47950 Dune Palms Rd, La Quinta, CA 92253 Phone: 760-771-8612 | |
Amanda Medina, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 79427 Calle Palmeto, La Quinta, CA 92253 Phone: 760-972-6966 | |
Saleem Noorali, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 43100 Palm Royale Dr Apt 225, La Quinta, CA 92253 Phone: 832-788-9582 | |
Briana Brambila, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 46441 Roudel Ln, La Quinta, CA 92253 Phone: 760-342-5380 |