Glass, Amy Bradshaw

Glass, Amy Bradshaw is an individual health care provider with primary practice located at 1940 Alcoa Hwy Suite E - 210, Knoxville TN 37920-2244. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Acute Care. Physician Assistants & Advanced Practice Nursing Providers / Acute Care is her primary health care specialty. Glass, Amy Bradshaw can be contacted via phone (865) 524-7471.

Contact Information

Primary practice address
1940 Alcoa Hwy Suite E - 210 Knoxville TN 37920-2244
Phone: (865) 524-7471
Fax: (865) 305-6563
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 150292 Tennessee
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X 13795 Tennessee

Profile Details

NPI number 1578718342
LBN Legal business name Glass, Amy Bradshaw
Credentials ACNP
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 20th, 2008
Last updated Dec 5th, 2012 - about 12 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 1578718342 NPPES
Tennessee MEDICAID 1514111

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