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Contact Information

KRISTIN BRADSHAW, FNP-C
100 MEDICAL DR
HANNIBAL, MO63401-6877
 Phone: 573-221-5250
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Nurse Practitioner

363L00000X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for KRISTIN BRADSHAW · (Female)

NPI Number 1568975183
Status Active
Credentials FNP-C (Family Nurse Practitioner, Certified)
Entity Individual
Enumeration date 11/06/2017
Last updated 04/13/2026 - About 2 months ago
Sole proprietor 1 Yes
Identifiers
  • IL License # 209016913
  • MO License # 2017038785
  • MO Other 2017038785 MISSOURI CERTIFIED NURSE PRACTITIONER LICENSE
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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