Lookup NPI Numbers from the NPI Registry
NPI Profile for KACY L BRADSHAW in SALEM, OR.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Neonatal, Critical Care |
363LN0005X | 50 | Nurse Practitioner |
| NPI # | 1972816593 |
|
| Status | Active | |
| Credentials | NNP | |
| Entity | Individual | |
| Enumeration date | 07/24/2010 | |
| Last updated | 07/24/2010 - About 16 years ago | |
| Sole proprietor 1 | No | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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KACY L BRADSHAW
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KACY L BRADSHAW, NNP