Bradshaw, Kristi Dale

Bradshaw, Kristi Dale is an individual health care provider with primary practice located at 229 Hedrick Dr , Newport TN 37821-2902. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Bradshaw, Kristi Dale can be contacted via phone (423) 623-1057.

Contact Information

Primary practice address
229 Hedrick Dr Newport TN 37821-2902
Phone: (423) 623-1057
Fax: (423) 625-8620
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X APN0000017714 Tennessee

Profile Details

NPI number 1861833436
LBN Legal business name Bradshaw, Kristi Dale
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 11th, 2013
Last updated Nov 14th, 2014 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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