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Individual

DENISE A. BRADSHAW

Active
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Individual

DENISE A. BRADSHAW

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP-BC

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
18084
SC
363L00000X
Nurse Practitioner
RN219030
GA
363L00000X
Nurse Practitioner
SP006623B
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003116627A
—
GA
05
—
NP1933
—
SC
01
—
P01005492
RAILROAD MEDICARE
GA
Enumeration date
04/26/2006
Last updated
02/26/2019
About Stedi
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