Beverly Ann Bradshaw in Elizabethton - Family

Beverly Ann Bradshaw - NPI 1043282502

Beverly Ann Bradshaw is a Family in Elizabethton, Tennessee. Beverly Ann Bradshaw practices all healthcare services and medical treatments related to Family. The NPI Number for Beverly Ann Bradshaw is 1043282502. The last update date is 2012-04-11.

Beverly Ann Bradshaw's current location address is 2521 Beechwood Dr, Elizabethton, Tennessee. You can contact this provider via phone number 4235437919 and fax number 4235435323. The mailing address for Beverly Ann Bradshaw is 2521 Beechwood Dr, Elizabethton, Tennessee. To know further, please read the information below!

Provider Profile Detail

Provider Name Beverly Ann Bradshaw
Address 2521 Beechwood Dr, Elizabethton, Tennessee
Phone Number 4235437919
Fax Number 4235435323
Sole Proprietor N
Credentials APRN BC

NPI Number Detail

NPI Number 1043282502
Provider Enumeration Date 2006-02-07
Last Updated Date 2012-04-11

Provider Mailing Address Detail

Address 2521 Beechwood Dr
City Elizabethton
State Tennessee (TN)
Post Code 376435062
Phone Number 4235437919
Fax Number 4235435323

Provider's Primary Taxonomy Detail

Speciality Family
Taxonomy 363Lf0000X
Licence No 49977
Definition:
An advanced practice registered nurse expert in primary healthcare for patients of all ages.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
3348271 TN MEDICARE PTAN
3348272 TN MECICARE PTAN
1043282502 TN NPI NUMBER
3348273 TN MEDICARE PTAN

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FAQs about Beverly Ann Bradshaw

What is the unique 10-digit identifier code assigned to Beverly Ann Bradshaw by the Centers for Medicare & Medicaid Services?

The Beverly Ann Bradshaw has been issued the NPI (National Provider Identifier) 1043282502 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Could you kindly provide the complete physical address where Beverly Ann Bradshaw's facilities are geographically located?

The facilities of Beverly Ann Bradshaw are physically situated at the following location: 2521 Beechwood Dr, Elizabethton, TN, 376435062.

What is Beverly Ann Bradshaw's specialized field of practice, and what is the corresponding taxonomy classification code?

The Beverly Ann Bradshaw's area of specialization is Family, and the corresponding taxonomy code that categorizes this field of practice is 363Lf0000X.

On what date was the 1043282502 assigned to Beverly Ann Bradshaw?

The Beverly Ann Bradshaw was issued its 1043282502 on 2006-02-07, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

When was the information related to Beverly Ann Bradshaw most recently updated or refreshed?

The details pertaining to the Beverly Ann Bradshaw, including its address, specialty, and other relevant information, were last updated or refreshed on 2012-04-11.

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