Tina Bradshaw is a Nurse Practitioner in Houston, Texas. Tina Bradshaw practices all healthcare services and medical treatments related to Nurse Practitioner. The NPI Number for Tina Bradshaw is 1003863374. The last update date is 2009-03-30.
Tina Bradshaw's current location address is 6701 Fannin St, Houston, Texas. You can contact this provider via phone number 8328221764 and fax number 8328221717. The mailing address for Tina Bradshaw is 6701 Fannin St, Houston, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Tina Bradshaw |
|---|---|
| Address | 6701 Fannin St, Houston, Texas |
| Phone Number | 8328221764 |
| Fax Number | 8328221717 |
| Sole Proprietor | N |
| Credentials | PNP |
NPI Number Detail
| NPI Number | 1003863374 |
|---|---|
| Provider Enumeration Date | 2006-05-30 |
| Last Updated Date | 2009-03-30 |
Provider Mailing Address Detail
| Address | 6701 Fannin St |
|---|---|
| City | Houston |
| State | Texas (TX) |
| Post Code | 770302316 |
| Phone Number | 8328221764 |
| Fax Number | 8328221717 |
Provider's Primary Taxonomy Detail
| Speciality | Nurse Practitioner |
|---|---|
| Taxonomy | 363L00000X |
| Licence No | 505918 |
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Definition: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certifi |
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What is the unique identifier code issued to Tina Bradshaw by the Centers for Medicare & Medicaid Services?
The Tina Bradshaw has been assigned the NPI (National Provider Identifier) 1003863374. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Tina Bradshaw?
The Tina Bradshaw is physically situated at 6701 Fannin St, in the city of Houston, state of TX, with the postal code 770302316.
What is Tina Bradshaw's specialized field of practice, and what is the corresponding taxonomy classification code?
The Tina Bradshaw's area of specialization is Nurse Practitioner, and the corresponding taxonomy code that categorizes this field of practice is 363L00000X.
When was the Tina Bradshaw's 1003863374 issued?
The Tina Bradshaw's 1003863374 was issued on 2006-05-30.
When was the information pertaining to Tina Bradshaw most recently updated or revised?
The details related to Tina Bradshaw, including its address, specialty, and other relevant information, were last updated or revised on 2009-03-30.
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