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Contact Information

CLAYTON J BRADSHAW, RN
701 RAHLING RD APT 4312
LITTLE ROCK, AR72223-3008
 Phone: 501-733-9120
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Registered Nurse

163W00000X
 

School

363LS0200X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for CLAYTON J BRADSHAW · (Male)

NPI Number 1568259182
Status Active
Credentials RN (Registered Nurse)
Entity Individual
Enumeration date 04/24/2025
Last updated 04/24/2025 - More than a year ago
Sole proprietor 1 No
Identifiers
  • AR License # 216407
  • OK License # 00
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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