Nicole Suzanne Bradshaw, FNP-C
Nurse Practitioner, Family in Hannibal, MO. Individual provider (NPI-1).
NPI number1053880112
StatusActive
Last updated in NPPESJan 15, 2025
Details
- NPI
- 1053880112
- Entity type
- Individual (NPI-1)
- Name
- Nicole Suzanne Bradshaw
- Credential
- FNP-C
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Nov 19, 2018
- Certification date
- Jan 15, 2025
- Last updated
- Jan 15, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | 2018041855 | MO | Yes |
| 363LF0000X | Nurse Practitioner, Family | 209019387 | IL |
Other names
- Nicole Suzanne Murphy (Former Name)
Practice location
6500 Hospital DrHannibal, MO 63401-6890
Phone 573-629-3480 · Fax 573-629-3987
Mailing address
6500 Hospital DrHannibal, MO 63401-6890
Phone 573-629-3480 · Fax 573-629-3987
Other practice locations
400 S Center St
Shelbina, MO 63468-1404
Shelbina, MO 63468-1404
Phone 573-588-4131 · Fax 573-588-4876
3650 Stardust Dr
Hannibal, MO 63401-2411
Hannibal, MO 63401-2411
Phone 573-231-0660 · Fax 573-231-0687
8 Town Center Dr
Bowling Green, MO 63334-2803
Bowling Green, MO 63334-2803
Phone 573-324-2241 · Fax 573-324-9854
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