Elizabeth A Bradshaw PA

NPI 1225392202 - Physician Assistant - 363A00000X

NPI Details
NPI 1225392202
Gender Female
Enumeration Date 06/25/2012
Last Updated 03/17/2015
Entity Type Individual
Active Over 4 years ago
Practice Location
1215 21ST AVE S
SUITE 5200
NASHVILLE TN, 37232-0014, US
Phone (615) 322-2318
Fax
Business Location
1215 21ST AVE S
SUITE 5200
NASHVILLE TN, 37232-0014, US
Phone (615) 322-2318
Fax
Toxanomy
Taxonomy Code 363A00000X
License State Minnesota
License Number 11158
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According to our database, Elizabeth A Bradshaw PA NPI is 1225392202, taxonomy code is 363A00000X and license number is 11158, license state is located at Minnesota. Elizabeth A Bradshaw PA physically located at 1215 21st Ave S, Nashville TN, 37232-0014. NPI Number Elizabeth A Bradshaw PA has the Individual type.

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1225392202 NPI number is provided on an as is basis without warranty of any kind. 1225392202 is maintained by the National Plan & Provider Enumeration System. The contents of Elizabeth A Bradshaw PA are for informational purposes only.