Bradshaw, Lee W

Bradshaw, Lee W is an individual health care provider with primary practice located at 3903 Harrison Blvd #300, Ogden UT 84403-8440. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as his primary health care specialty. Bradshaw, Lee W can be contacted via phone (801) 387-4930.

Contact Information

Primary practice address
3903 Harrison Blvd #300 Ogden UT 84403-8440
Phone: (801) 387-4930
Fax: (801) 387-9470
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 364SP0808X 6242996-4405 Utah

Profile Details

NPI number 1588660773
LBN Legal business name Bradshaw, Lee W
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 22nd, 2005
Last updated Jul 12th, 2022 - about 2 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.

Request for update

Popular Providers