Individual
CASEY BROOK BRADSHAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
405 E EXCELSIOR AVE, VINITA, OK 74301-4226
(844) 458-2100
Mailing address
405 E EXCELSIOR AVE, VINITA, OK 74301-4226
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
70384
OK
Other
Enumeration date
07/20/2026
Last updated
07/20/2026
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