Healthcare Provider Details

I. General information

NPI: 1386704252
Provider Name (Legal Business Name): NANCY KAY BRADFORD MA, LMPH
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/11/2006
Last Update Date: 09/29/2026
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1023 10TH AVENUE
SIDNEY NE
69162
US

IV. Provider business mailing address

PO BOX 214 1023 10TH AVENUE
SIDNEY NE
69162
US

V. Phone/Fax

Practice location:
  • Phone: 308-254-0737
  • Fax: 308-254-6375
Mailing address:
  • Phone: 308-254-0737
  • Fax: 308-254-6375

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number1149
License Number StateNE
# 2
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number1999
License Number StateNE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: