Bradshaw, Virginia

Bradshaw, Virginia is an individual health care provider with primary practice located at 24 White Bridge Pike , Nashville TN 37205-1411. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Gerontology, which is considered as her primary health care specialty. Bradshaw, Virginia can be contacted via phone (615) 352-0011.

Contact Information

Primary practice address
24 White Bridge Pike Nashville TN 37205-1411
Phone: (615) 352-0011
Fax: (615) 352-0085
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Gerontology 363LG0600X APN0000007319 Tennessee

Profile Details

NPI number 1598795007
LBN Legal business name Bradshaw, Virginia
Credentials APRN, BC
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 3rd, 2006
Last updated Jan 13th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1598795007 NPPES
Tennessee Other 3711015 MEDICARE PTAN
Tennessee Other 3046283 MEDICARE PTAN
Tennessee MEDICAID 3043372 MEDICARE PTAN

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