Individual
BRANDEN A BLEDSOE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APRN
Contact information
Practice address
311 E CLIFTY DR, MADISON, IN 47250-4621
(502) 895-7761
Mailing address
311 E CLIFTY DR, MADISON, IN 47250-4621
(502) 895-7761
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
3007176
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201229380
—
IN
05
—
7100188520
—
KY
Enumeration date
09/27/2011
Last updated
05/23/2024
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