Doctor Name: | KAREN S BRADSHAW |
NPI Number: | 1063618494 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | ARNP |
License Number: | 2739042 |
Business Practice Address: | 10115 Forest Hill Blvd Suite 300 Wellington, FL - 334143105 |
Business Phone Number: | 5613286165 |
Business Fax Number: | 5613286091 |
Mailing Address: | 10115 Forest Hill Blvd, Suite 300 WELLINGTON |
State: | FL |
Postal Code: | 334143105 |
Phone Number: | 5613286165 |
Fax Number: | 5613286091 |
NPI Enumeration Date: | 06/22/2007 |
NPI Last Update Date: | 04/29/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 163WW0101X |
License Number: | 2739042 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Nursing Service Providers |
Taxonomy Classification: | Registered Nurse |
Taxonomy Specialization: | Women's Health Care, Ambulatory |
Taxonomy Definition: |