MICHELE KYLE BRADSHAW NPI 1063158723

NPI Information

NPI: 1063158723
Provider Name: MICHELE KYLE BRADSHAW
Classification: Nurse Practitioner - 363LP0808X
Entity Type: Individual

Specialization: Psychiatric/Mental Health

Address:
2539 ISLAND GROVE BLVD
FREDERICK, MD
ZIP 21701
Phone: (571) 505-0227
Get Directions

Michele Kyle Bradshaw is a psychiatric/mental health nurse practitioner in Frederick, MD. Michele Kyle Bradshaw NPI is 1063158723. The provider is registered as an individual entity type and is a single specialty group.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

2539 ISLAND GROVE BLVD
FREDERICK, MD
ZIP 21701-333
Phone: (571) 505-0227

The enumeration date for this NPI number is 5/6/2022 and was last updated on 5/6/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	0024184288	VIRGINIA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

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