Healthcare Provider Details

I. General information

NPI: 1598686271
Provider Name (Legal Business Name): ABIGAYLE BRADFIELD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/21/2026
Last Update Date: 07/21/2026
Certification Date: 07/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

401 10TH AVE
MENOMINEE MI
49858-3009
US

IV. Provider business mailing address

715 PYLE DR
KINGSFORD MI
49802-4456
US

V. Phone/Fax

Practice location:
  • Phone: 906-863-7841
  • Fax:
Mailing address:
  • Phone: 906-774-0522
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number6852094683
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: