MRS. KACY LEE BRADSHAW NNP NPI 1972816593

NPI Information

NPI: 1972816593
Provider Name: MRS. KACY LEE BRADSHAW, NNP
Classification: Nurse Practitioner - 363LN0005X
Entity Type: Individual

Specialization: Neonatal, Critical Care

PECOS Registration: Yes

Address:
939 OAK ST SE
SALEM, OR
ZIP 97301
Phone: (503) 814-3561
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MRS. Kacy Lee Bradshaw, NNP is a neonatal and critical care nurse practitioner in Salem, OR. MRS. Kacy Lee Bradshaw, NNP NPI is 1972816593. 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:

939 OAK ST SE
SALEM, OR
ZIP 97301-901
Phone: (503) 814-3561
Fax: (503) 814-3560

The NPI 1972816593 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 7/24/2010 and was last updated on 7/24/2010.

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	363LN0005X	Nurse Practitioner	Neonatal, Critical Care	201050101NP	OREGON	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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