Mr Bradley Daniel Demery, RN | |
10543 S Crater Rd, South Prince George, VA 23805-7333 | |
(800) 805-6989 | |
Not Available |
Full Name | Mr Bradley Daniel Demery |
---|---|
Gender | Male |
Speciality | Registered Nurse |
Location | 10543 S Crater Rd, South Prince George, Virginia |
Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1841897832 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
163W00000X | Registered Nurse | 0001240362 (Virginia) | Primary |
Mailing Address | Practice Location Address |
---|---|
Mr Bradley Daniel Demery, RN 216 Wisteria Ln Apt 1d, Petersburg, VA 23805-9167 Ph: (804) 658-6184 | Mr Bradley Daniel Demery, RN 10543 S Crater Rd, South Prince George, VA 23805-7333 Ph: (800) 805-6989 |
Gabrielle Sinclair, Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 10543 S Crater Rd, South Prince George, VA 23805 Phone: 804-431-5585 | |
Shannon Oconnor, Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 10543 S Crater Rd, South Prince George, VA 23805 Phone: 800-805-6989 |