Individual
ATALIE M BRADSHAW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
1175 E 50 S STE 171, AMERICAN FORK, UT 84003-2845
(801) 354-8225
(801) 418-0941
Mailing address
1055 N 500 W, ATTN CREDENTIALING, PROVO, UT 84604
(801) 354-8225
(801) 418-0941
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
10215609-4405
UT
Other
Enumeration date
05/11/2022
Last updated
07/12/2022
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