Bradshaw, Denise A.

Bradshaw, Denise A. is an individual health care provider with primary practice located at 171 Ashley Ave , Charleston SC 29425-6901. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Bradshaw, Denise A. can be contacted via phone (843) 792-1414.

Contact Information

Primary practice address
171 Ashley Ave Charleston SC 29425-6901
Phone: (843) 792-1414
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X RN219030 Georgia
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X SP006623B Pennsylvania
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 18084 South Carolina

Profile Details

NPI number 1760449649
LBN Legal business name Bradshaw, Denise A.
Credentials FNP-BC
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 26th, 2006
Last updated Feb 26th, 2019 - about 5 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 1760449649 NPPES
South Carolina MEDICAID NP1933
South Carolina MEDICAID 003116627A
South Carolina Other P01005492

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