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Contact Information

COREE BRADSHAW
6100 S WALKER AVE
OKLAHOMA CITY, OK73139-7026
 Phone: 405-634-4400
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Licensed Practical Nurse

164W00000X
 

Community Health Worker

172V00000X
Indicates primary specialty

NPI Profile & details for COREE BRADSHAW · (Female)

NPI # 1730941972
Status Active
Credentials
Entity Individual
Enumeration date 01/24/2024
Last updated 10/30/2024 - More than a year ago
Sole proprietor 1 No
Identifiers
  • OK License # 220113
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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