Individual
VALEAH LYNN BRADSHAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
388 BEN BOLT AVE, TAZEWELL, VA 24651-5386
(276) 988-8850
Mailing address
PO BOX 1279, PRINCETON, WV 24740-1279
(681) 282-5591
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
0024184894
VA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/14/2022
Last updated
04/20/2023
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