Organization · Type 2 NPI
Bradshaw Mountain Family Medicine LLC
Family Nurse Practitioner · Dewey, AZ
NPI number
1902262272
Active
Practice location
1163 E Old Chisholm Trail Suite C
Dewey, AZ 86327
Fax (844) 250-8735
Mailing address
2030 W Baseline Rd Ste 182-549
Phoenix, AZ 85041-6574
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | RN145916 AP7984 (AZ) |
Family Nurse Practitioner: Definition to come...
Other family nurse practitioner providers in Dewey
About NPI 1902262272
Bradshaw Mountain Family Medicine LLC's National Provider Identifier is 1902262272, issued on Jan 2, 2016. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Dewey, AZ. The record was last updated on Jan 25, 2023.