Provider Demographics
NPI:1457566671
Name:BRADEEN, HEATHER APPLETON (MD)
Entity type:Individual
Prefix:
First Name:HEATHER
Middle Name:APPLETON
Last Name:BRADEEN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:111 COLCHESTER AVE
Mailing Address - Street 2:SMITH 564
Mailing Address - City:BURLINGTON
Mailing Address - State:VT
Mailing Address - Zip Code:05401-1473
Mailing Address - Country:US
Mailing Address - Phone:802-847-2850
Mailing Address - Fax:802-847-5557
Practice Address - Street 1:111 COLCHESTER AVE
Practice Address - Street 2:SMITH 564
Practice Address - City:BURLINGTON
Practice Address - State:VT
Practice Address - Zip Code:05401-1473
Practice Address - Country:US
Practice Address - Phone:802-847-2850
Practice Address - Fax:802-847-5557
Is Sole Proprietor?:No
Enumeration Date:2007-05-11
Last Update Date:2013-06-11
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
VT042-00114262080P0207X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080P0207XAllopathic & Osteopathic PhysiciansPediatricsPediatric Hematology-Oncology