Individual
TAYLOR NOELLE BRADSHAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
345 10TH AVE, GRANITE FALLS, MN 56241-1442
(320) 564-6200
Mailing address
218 2ND AVE, LITTLE ROCK, IA 51243-1001
(515) 975-1095
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
A166120
IA
363L00000X
Nurse Practitioner
Primary
A166120
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11327
11327
MN
01
—
A166120
IOWA BOARD OF NURSING
IA
Enumeration date
10/15/2021
Last updated
07/04/2024
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