Individual
DONNA MARIE BRADSHAW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
AGNP
Contact information
Practice address
1200 S MILITARY HWY, CHESAPEAKE, VA 23320-2251
(757) 424-5778
Mailing address
1200 S MILITARY HWY, CHESAPEAKE, VA 23320-2251
(757) 424-5778
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
1786365
VA
Other
Enumeration date
05/15/2020
Last updated
05/15/2020
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