Individual
MS. KELIA KIMESHA BRADSHAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
120 E 2ND ST FL 2, ERIE, PA 16507-1579
(814) 456-8980
(814) 451-0443
Mailing address
120 E 2ND ST FL 2, ERIE, PA 16507-1579
(814) 456-8980
(814) 451-0443
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
SP028205
PA
Other
Enumeration date
09/19/2023
Last updated
02/20/2024
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