Melonie Bradshaw, PEER SUPPORT
Peer Specialist · Saint George, UT
Practice location
1085 S Bluff StSaint George, UT 84770-5245
- Phone
- (801) 465-5111
NPI record
- NPI
- 1114499258
- Entity type
- Individual (Type 1)
- Enumeration date
- December 31, 2018
- Last updated
- December 31, 2018
- Sole proprietor
- Yes
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| Peer Specialist Primary | 175T00000X |
1035 | UT |
About Melonie Bradshaw
Melonie Bradshaw, PEER SUPPORT is a healthcare provider registered in the NPI registry with the primary taxonomy Peer Specialist (code 175T00000X). The practice location is 1085 S Bluff St, Saint George, UT 84770-5245. The NPI number 1114499258 was assigned on December 31, 2018 and the record was last updated on December 31, 2018.
Melonie Bradshaw lists a license in the registry: #1035 (UT) for Peer Specialist. License numbers are self-reported to NPPES; verify them with the state licensing board.
Frequently asked questions
What is the NPI number of Melonie Bradshaw, PEER SUPPORT?
The NPI number is 1114499258.
What is the phone number of Melonie Bradshaw?
The phone number listed for the practice location is (801) 465-5111.
Where is Melonie Bradshaw located?
1085 S Bluff St, Saint George, UT 84770-5245.
What is the taxonomy code for Melonie Bradshaw?
The primary taxonomy code is 175T00000X – Peer Specialist.
Is this information correct?
All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.
Other Peer Specialist providers in Saint George
- Aaron Vaught1085 S Bluff St