Individual
KATHRYN BRADSHAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
314 FRANKLIN AVE, BERLIN, MD 21811-1215
(410) 629-1995
(410) 629-1993
Mailing address
PO BOX 1578, BERLIN, MD 21811-5578
(410) 641-9450
(410) 641-9515
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
R156820
MD
Other
Enumeration date
06/28/2006
Last updated
01/13/2009
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