Individual
KAREN L BRADSHAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
13700 ST FRANCIS BLVD, SUITE 510, MIDLOTHIAN, VA 23114-3222
(804) 423-8470
(804) 423-8471
Mailing address
13700 ST FRANCIS BLVD, SUITE 510, MIDLOTHIAN, VA 23114-3222
(804) 423-8470
(804) 423-8471
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
0024110098
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
C06695
GROUP PTAN
VA
Enumeration date
09/16/2011
Last updated
09/16/2011
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