Bradshaw, Amanda M

Bradshaw, Amanda M is an individual health care provider with primary practice located at 4800 Sand Point Way Ne , Seattle WA 98105-3901. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Bradshaw, Amanda M can be contacted via phone (205) 987-2521.

Contact Information

Primary practice address
4800 Sand Point Way Ne Seattle WA 98105-3901
Fax: (206) 987-2721
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X PA60137841 Washington

Profile Details

NPI number 1336380492
LBN Legal business name Bradshaw, Amanda M
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 18th, 2009
Last updated Oct 21st, 2010 - about 14 years ago

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 1336380492 NPPES
Washington Other PA60137841 STATE LICENSE

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