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General NPI Number Information
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NPI Number | 1306655618
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Entity Type | Individual
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Provider Name | ALISHA BRADLEY APN, PMHNP
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Gender | Female
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Dates
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Enumeration Date | 01/01/2025
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Last Update Date | 05/09/2025
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Provider Practice Location Address
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Address Line | 603 28 1/4 RD
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City | GRAND JUNCTION
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State | CO
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Zip | 81506-6019
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Country | US
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Telephone | 970-263-2600
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Fax | 970-263-2692
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Provider Business Mailing Address
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Address Line | 603 28 1/4 RD
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City | GRAND JUNCTION
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State | CO
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Zip | 81506-6019
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Country | US
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Telephone | 970-263-2600
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 364SP0813X
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Taxonomy Name | Geropsychiatric Psychiatric/Mental Health Clinical Nurse Specialist
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License Number | APN.000571-NP
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License Number State | CO
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Taxonomy #2
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | APN.1000571-NP
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License Number State | CO
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Taxonomy #3
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | RN.1632029
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License Number State | CO
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