Organization
BRADSHAW PSYCHOLGICAL SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NANCY L BRADSHAW RN CNP (1ST GOV)
(952) 892-7690
Entity
Organization
Contact information
Practice address
1751 SOUTHCROSS DR W, BURNSVILLE, MN 55306-7012
(952) 892-7690
(952) 898-4930
Mailing address
7637 15TH ST N, OAKDALE, MN 55128-5600
(952) 892-7690
(952) 898-4930
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
08/20/2012
Last updated
08/20/2012
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