Individual
KATHLEEN ANDIE BRADSHAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
7870 W US-2, MANISTIQUE, MI 49854
(906) 341-3200
Mailing address
7446 24.75 LN, GLADSTONE, MI 49837-8832
(906) 420-1998
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
4704329582
MI
Other
Enumeration date
07/23/2021
Last updated
07/23/2021
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