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Individual

DR. NANCY VERNON BRADSHER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
AU.D.

Contact information

Practice address
743 MAIN ST, DANVILLE, VA 24541-1803
(434) 799-6288
(434) 797-3685
Mailing address
743 MAIN ST, DANVILLE, VA 24541-1803
(434) 799-6288
(434) 797-3685

Taxonomy

Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
2201000465
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1376543439
VA
01
640000032
MEDICARE PALMETTO GBA PTAN (DANNY W. GNEWIKOW, PH.D., LLC)
VA
01
640003590
MEDICARE RAILROAD PTAN - AUDIOLOGY HEARING AID ASSOCIATES, INC.
VA
01
640003594
MEDICARE RAILROAD PTAN - DANNY W. GNEWIKOW, PH.D., LLC
VA
01
VAA103109
MEDICARE PALMETTO GBA PTAN (AUDIOLOGY HEARING AID ASSOCIATES, INC.)
VA
Enumeration date
07/29/2005
Last updated
07/17/2015
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