Whitney Bradshaw, NP
Nurse Practitioner, Psych/Mental Health in Salisbury, MD. Individual provider (NPI-1).
NPI number1104454701
StatusActive
Last updated in NPPESMar 30, 2020
Details
- NPI
- 1104454701
- Entity type
- Individual (NPI-1)
- Name
- Whitney Bradshaw
- Credential
- NP
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Mar 30, 2020
- Certification date
- Mar 30, 2020
- Last updated
- Mar 30, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LP0808X | Nurse Practitioner, Psych/Mental Health | R209524 | MD | Yes |
Practice location
100 E Carroll StSalisbury, MD 21801-5422
Phone 410-543-7162
Mailing address
35334 Tingle RdWillards, MD 21874-1323
Phone 443-235-0491
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