Individual provider · Type 1 NPI
Lee W. Bradshaw, APRN
Psychiatric/Mental Health Clinical Nurse Specialist · Ogden, UT
NPI number
1588660773
Active
Practice location
3903 Harrison Blvd, #300
Ogden, UT 84403-8440
Fax (801) 387-9470
Mailing address
PO Box 27128
Salt Lake City, UT 84127-0128
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Clinical Nurse Specialist Primary | 364SP0808X | 6242996-4405 (UT) |
Psychiatric/Mental Health Clinical Nurse Specialist: Definition to come...
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About NPI 1588660773
Lee W. Bradshaw, APRN's National Provider Identifier is 1588660773, issued on Jun 22, 2005. The primary taxonomy on file is Psychiatric/Mental Health Clinical Nurse Specialist (364SP0808X), and the practice location is in Ogden, UT. The record was last updated on Jul 12, 2022.