Brandy Bradshaw

Licensed Practical Nurse · Clinton, MO

Individual Active NPI

NPI number 1174980544

Practice location

1800 Community
Clinton, MO 64735-8804
Phone
(660) 885-8131

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NPI record

NPI
1174980544
Entity type
Individual (Type 1)
Enumeration date
January 15, 2016
Last updated
January 20, 2016
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Licensed Practical Nurse Primary 164W00000X 2003026467 MO

About Brandy Bradshaw

Brandy Bradshaw is a healthcare provider registered in the NPI registry with the primary taxonomy Licensed Practical Nurse (code 164W00000X). The practice location is 1800 Community, Clinton, MO 64735-8804. The NPI number 1174980544 was assigned on January 15, 2016 and the record was last updated on January 20, 2016.

Brandy Bradshaw lists a license in the registry: #2003026467 (MO) for Licensed Practical Nurse. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Brandy Bradshaw?

The NPI number is 1174980544.

What is the phone number of Brandy Bradshaw?

The phone number listed for the practice location is (660) 885-8131.

Where is Brandy Bradshaw located?

1800 Community, Clinton, MO 64735-8804.

What is the taxonomy code for Brandy Bradshaw?

The primary taxonomy code is 164W00000X – Licensed Practical Nurse.

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.

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