Bradbury, Shannon Leslie

Bradbury, Shannon Leslie is an individual health care provider with primary practice located at 2050 N Haggerty Rd Ste 140 , Canton MI 48187-3796. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Medical-Surgical, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Bradbury, Shannon Leslie can be contacted via phone (734) 595-1166.

Contact Information

Primary practice address
2050 N Haggerty Rd Ste 140 Canton MI 48187-3796
Phone: (734) 595-1166
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Medical-Surgical 163WM0705X 4704340785 Michigan
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 4704340785NSA220XB Michigan

Profile Details

NPI number 1285385377
LBN Legal business name Bradbury, Shannon Leslie
Credentials RN, FNP-BC
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 11th, 2022
Last updated Jul 7th, 2023 - 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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