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Individual

NANCY L BRADSHAW

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RN, CNP

Contact information

Practice address
1751 SOUTHCROSS DR W, BURNSVILLE, MN 55306-7012
(952) 892-7690
(952) 898-4930
Mailing address
1751 SOUTHCROSS DR W, BURNSVILLE, MN 55306-7012
(952) 892-7690
(952) 898-4930

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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