Individual
MR. LEE W BRADSHAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APRN
Contact information
Practice address
3903 HARRISON BLVD, #300, OGDEN, UT 84403-8440
(801) 387-4930
(801) 387-9470
Mailing address
PO BOX 27128, SALT LAKE CITY, UT 84127-0128
(801) 387-5600
(801) 475-4720
Taxonomy
Speciality
Code
Description
License number
State
364SP0808X
Psychiatric/Mental Health Clinical Nurse Specialist
Primary
6242996-4405
UT
Other
Enumeration date
06/22/2005
Last updated
07/12/2022
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