BRADSHAW MOUNTAIN FAMILY MEDICINE LLC NPI 1902262272

NPI Information

NPI: 1902262272
Provider Name: BRADSHAW MOUNTAIN FAMILY MEDICINE LLC
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Organization

Specialization: Family

Address:
1163 E OLD CHISHOLM TRAIL SUITE C
DEWEY, AZ
ZIP 86327
Phone: (928) 710-1971
Get Directions

BRADSHAW MOUNTAIN FAMILY MEDICINE LLC is a family nurse practitioner in Dewey, AZ. BRADSHAW MOUNTAIN FAMILY MEDICINE LLC NPI is 1902262272. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1163 E OLD CHISHOLM TRAIL SUITE C
DEWEY, AZ
ZIP 86327
Phone: (928) 710-1971
Fax: (844) 250-8735

The provider's authorized official is Susan Murphy .
The authorized official title is Owner and has the following contact phone number (480) 542-9906.

The enumeration date for this NPI number is 1/2/2016 and was last updated on 1/25/2023.

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	363LF0000X	Nurse Practitioner	Family	RN145916 AP7984	ARIZONA	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: 4/28/2024

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.

« Previous NPI

Next NPI »