Bradshaw, Brenda
Bradshaw, Brenda is an individual health care provider with primary practice located at 221 Covington Ave Apt 170 , Thomasville GA 31792-5287. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Psychiatric/Mental Health, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is her primary health care specialty. Bradshaw, Brenda can be contacted via phone (229) 977-1171.Contact Information
Primary practice address
221 Covington Ave Apt 170
Thomasville GA 31792-5287
Phone: (229) 977-1171
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Nursing Service Providers / Psychiatric/Mental Health | 163WP0808X | RN212998 | Georgia |
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health | 363LP0808X | 212998 | Georgia |
Profile Details
NPI number | 1376303420 |
---|---|
LBN Legal business name | Bradshaw, Brenda |
Credentials | Nurse Practitioner (NP) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Mar 19th, 2024 |
Last updated | Mar 19th, 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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