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Individual
NANCY L BRADSHAW
Active
Individual
NANCY L BRADSHAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, CNP
Taxonomy
Speciality
Code
Description
License number
State
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
R115681-4
MN
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
R115681-4
MN
Other
Enumeration date
10/25/2006
Last updated
04/30/2012
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