Provider Demographics
NPI:1134624463
Name:BRADNER, JULIA MICHELLE (CD(DONA), LCCE, CPM)
Entity type:Individual
Prefix:MRS
First Name:JULIA
Middle Name:MICHELLE
Last Name:BRADNER
Suffix:
Gender:F
Credentials:CD(DONA), LCCE, CPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3124 SEDGEWICK DR
Mailing Address - Street 2:
Mailing Address - City:LYNCHBURG
Mailing Address - State:VA
Mailing Address - Zip Code:24503-3344
Mailing Address - Country:US
Mailing Address - Phone:434-515-3130
Mailing Address - Fax:
Practice Address - Street 1:3124 SEDGEWICK DR
Practice Address - Street 2:
Practice Address - City:LYNCHBURG
Practice Address - State:VA
Practice Address - Zip Code:24503-3344
Practice Address - Country:US
Practice Address - Phone:434-515-3130
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-03-28
Last Update Date:2024-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA12583374J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula