Bradshaw, Taylor Noelle
Bradshaw, Taylor Noelle is an individual health care provider with primary practice located at 345 10Th Ave , Granite Falls MN 56241-1442. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Bradshaw, Taylor Noelle can be contacted via phone (320) 564-6200.Contact Information
Primary practice address
345 10Th Ave
Granite Falls MN 56241-1442
Phone: (320) 564-6200
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | A166120 | Iowa |
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | A166120 | Iowa |
Profile Details
NPI number | 1750044947 |
---|---|
LBN Legal business name | Bradshaw, Taylor Noelle |
Credentials | Certified Nurse Practitioner (CNP) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Oct 15th, 2021 |
Last updated | Jul 4th, 2024 - about 4 months 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1750044947 | NPPES |
Minnesota | Other | 11327 | 11327 |
Minnesota | Other | A166120 | 11327 |
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