Individual
BETTY BRADSHAW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
1211A IRELAND DR, FAYETTEVILLE, NC 28304-3372
(910) 486-1605
Mailing address
1211A IRELAND DR, FAYETTEVILLE, NC 28304-3372
(910) 486-1605
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
200207
NC
Other
Enumeration date
07/31/2014
Last updated
07/31/2014
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