Bledsoe, Branden A

Bledsoe, Branden A is an individual health care provider with primary practice located at 311 E Clifty Dr , Madison IN 47250-4621. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as his primary health care specialty. Bledsoe, Branden A can be contacted via phone (502) 895-7761.

Contact Information

Primary practice address
311 E Clifty Dr Madison IN 47250-4621
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 3007176 Kentucky

Profile Details

NPI number 1184907099
LBN Legal business name Bledsoe, Branden A
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 27th, 2011
Last updated May 23rd, 2024 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1184907099 NPPES
Kentucky MEDICAID 7100188520
Kentucky MEDICAID 201229380

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