Individual provider · Type 1 NPI
Stacy Bradshaw, FNP
Family Nurse Practitioner · Houston, TX
NPI number
1073944773
Active
Practice location
6602 Winfield Rd
Houston, TX 77050-4704
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner | 363LF0000X | LG-0000715 (DE) |
| Family Nurse Practitioner Primary | 363LF0000X | AP130741 (TX) |
Family Nurse Practitioner: Definition to come...
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About NPI 1073944773
Stacy Bradshaw, FNP's National Provider Identifier is 1073944773, issued on Dec 5, 2013. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Houston, TX. The record was last updated on Aug 10, 2022.