OLIVIA MARIE BRADSHAW APRN NPI 1295471365

NPI Information

  • NPI: 1295471365
  • Provider Name: OLIVIA MARIE BRADSHAW, APRN
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 210 SHANE DR
    GLASGOW, KY
    ZIP 42141
  • Phone: (270) 651-4772

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NPI Details

Olivia Marie Bradshaw, APRN is a family nurse practitioner in Glasgow, KY. Olivia Marie Bradshaw, APRN NPI is 1295471365. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

210 SHANE DR
GLASGOW, KY
ZIP 42141-102
Phone: (270) 651-4772

The NPI 1295471365 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Power Mobility Devices.

The enumeration date for this NPI number is 5/10/2022 and was last updated on 5/10/2022.

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
1363LF0000XNurse PractitionerFamily3017474KENTUCKYYes

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: 11/21/2025

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