# COREE BRADSHAW

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1730941972
- **Gender:** F

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 164W00000X | Licensed Practical Nurse | 220113 | OK | Yes |
| 172V00000X | Community Health Worker | — | NULL | — |

## Other

- **Enumeration date:** 01/24/2024
- **Last updated:** 10/30/2024