Individual
OLIVIA MARIE BRADSHAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
210 SHANE DR, GLASGOW, KY 42141-4102
(270) 651-4772
Mailing address
210 SHANE DR, GLASGOW, KY 42141-4102
(270) 651-4772
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
3017474
KY
Other
Enumeration date
05/10/2022
Last updated
05/10/2022
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