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NPI Code Detail

MEDICARE: MS. GLENDA ANNETTE BRADLEY APRN-BC

MEDICARE:  MS. GLENDA ANNETTE BRADLEY  APRN-BC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LF0000XFamily Nurse Practitioner525236TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1598774093
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. GLENDA ANNETTE BRADLEY APRN-BC
Provider Business Mailing Address
First Line : 1125 CYPRESS STATION DR STE B-1
Second Line :
City : HOUSTON
State : TX
Zip : 77090-3055
Country : US
Telephone Number : 281-586-7880
Fax Number : 281-580-5061
Provider Business Practice Location Address
First Line : 1125 CYPRESS STATION DR STE B-1
Second Line :
City : HOUSTON
State : TX
Zip : 77090-3055
Country : US
Telephone Number : 281-586-7880
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/05/2006
Last Update Date : 04/24/2026

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Directions to “ MS. GLENDA ANNETTE BRADLEY APRN-BC” Practice Location

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