Individual
CHRISTALYN BRADSHAW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1708 SUMMERSWEET DR, WILLIAMSTOWN, NJ 08094-3391
(856) 625-0465
Mailing address
1708 SUMMERSWEET DR, WILLIAMSTOWN, NJ 08094-3391
(856) 625-0465
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
26NR15122800
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1003356452
PERSONAL CARE HOME C & G
PA
Enumeration date
04/21/2017
Last updated
04/21/2017
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