MR. LEE W BRADSHAW APRN NPI 1588660773

NPI Information

NPI: 1588660773
Provider Name: MR. LEE W BRADSHAW, APRN
Classification: Clinical Nurse Specialist - 364SP0808X
Entity Type: Individual

Specialization: Psychiatric/Mental Health

PECOS Registration: Yes

Address:
3903 HARRISON BLVD
#300
OGDEN, UT
ZIP 84403
Phone: (801) 387-4930
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MR. Lee W Bradshaw, APRN is a psychiatric/mental health clinical nurse specialist in Ogden, UT with 43 years of experience. MR. Lee W Bradshaw, APRN NPI is 1588660773. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

3903 HARRISON BLVD
#300
OGDEN, UT
ZIP 84403-440
Phone: (801) 387-4930
Fax: (801) 387-9470

The NPI 1588660773 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 6/22/2005 and was last updated on 7/12/2022.

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	364SP0808X	Clinical Nurse Specialist	Psychiatric/Mental Health	6242996-4405	UTAH	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

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