Provider Demographics
NPI:1639053465
Name:BRADFIELD, HEATHER L (NP)
Entity type:Individual
Prefix:MS
First Name:HEATHER
Middle Name:L
Last Name:BRADFIELD
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6273 E 400 S
Mailing Address - Street 2:
Mailing Address - City:GREENFIELD
Mailing Address - State:IN
Mailing Address - Zip Code:46140-9744
Mailing Address - Country:US
Mailing Address - Phone:480-604-4907
Mailing Address - Fax:
Practice Address - Street 1:6273 E 400 S
Practice Address - Street 2:
Practice Address - City:GREENFIELD
Practice Address - State:IN
Practice Address - Zip Code:46140-9744
Practice Address - Country:US
Practice Address - Phone:480-604-4907
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-08-04
Last Update Date:2025-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN28281601A363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner