Individual
CHARITY BRADSHAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1710 W 3RD ST STE 101, ELK CITY, OK 73644-5160
(505) 225-8600
(855) 583-1074
Mailing address
1710 W 3RD ST STE 101, ELK CITY, OK 73644-5160
(505) 225-8600
(855) 583-1074
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
215457
OK
363LG0600X
Gerontology Nurse Practitioner
215457
OK
Other
Enumeration date
10/09/2023
Last updated
02/27/2026
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