Lisa Yvonne Bradshaw-Small in Stone Mountain - Family
Lisa Yvonne Bradshaw-Small - NPI 1043330301
Lisa Yvonne Bradshaw-Small is a Family in Stone Mountain, Georgia. Lisa Yvonne Bradshaw-Small practices all healthcare services and medical treatments related to Family. The NPI Number for Lisa Yvonne Bradshaw-Small is 1043330301. The last update date is 2012-04-05.
Lisa Yvonne Bradshaw-Small's current location address is 6269 Greenock Dr, Stone Mountain, Georgia. You can contact this provider via phone number 4048199665 and fax number 6788256030. The mailing address for Lisa Yvonne Bradshaw-Small is 6269 Greenock Dr, Stone Mountain, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Lisa Yvonne Bradshaw-Small |
|---|---|
| Address | 6269 Greenock Dr, Stone Mountain, Georgia |
| Phone Number | 4048199665 |
| Fax Number | 6788256030 |
| Sole Proprietor | Y |
| Credentials | APRN, BC |
NPI Number Detail
| NPI Number | 1043330301 |
|---|---|
| Provider Enumeration Date | 2007-03-30 |
| Last Updated Date | 2012-04-05 |
Provider Mailing Address Detail
| Address | 6269 Greenock Dr |
|---|---|
| City | Stone Mountain |
| State | Georgia (GA) |
| Post Code | 300876081 |
| Phone Number | 4048199665 |
| Fax Number | 6788256030 |
Provider's Primary Taxonomy Detail
| Speciality | Family |
|---|---|
| Taxonomy | 363Lf0000X |
| Licence No | RN141141 |
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Definition: An advanced practice registered nurse expert in primary healthcare for patients of all ages. |
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Post Comment/ Review Below
What is the unique 10-digit identification code issued to Lisa Yvonne Bradshaw-Small by the Centers for Medicare & Medicaid Services?
The Lisa Yvonne Bradshaw-Small has been assigned the NPI (National Provider Identifier) 1043330301 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Can you provide the Lisa Yvonne Bradshaw-Small's physical address?
The Lisa Yvonne Bradshaw-Small is physically located at 6269 Greenock Dr, in the city of Stone Mountain, GA, with the postal code 300876081.
What is Lisa Yvonne Bradshaw-Small's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Lisa Yvonne Bradshaw-Small's specialized field of practice is Family, and the corresponding taxonomy code that categorizes this area of specialization is 363Lf0000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1043330301 to Lisa Yvonne Bradshaw-Small?
The Lisa Yvonne Bradshaw-Small received its 1043330301 assignment from the Centers for Medicare & Medicaid Services on 2007-03-30.
As of what date were the details related to Lisa Yvonne Bradshaw-Small most recently updated or revised?
The information pertaining to Lisa Yvonne Bradshaw-Small, including its address, specialty, and other relevant details, was last updated or revised on 2012-04-05.