IndividualActive
Brandy Bradshaw
NPI 1174980544 · Licensed Practical Nurse · Clinton, MO
Provider details
- NPI number
- 1174980544
- Entity type
- Individual
- Primary specialty
- Licensed Practical NurseNursing Service Providers
- Sex
- Female
- Sole proprietor
- Yes
- License
- 2003026467 (MO)
Specialties & taxonomies
Nursing Service Providers
Practice location
1800 Community
Clinton, MO 64735-8804
Phone: (660) 885-8131
Approximate (ZIP-level) locationGet directions
Mailing address
1800 Community
Clinton, MO 64735-8804
Registry dates
- Enumerated
- 2016-01-15
- Last updated
- 2016-01-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.