person
Mr. Lee W Bradshaw, APRN
Psychiatric/Mental Health Clinical Nurse Specialist in Ogden, Utah
NPI 1588660773

Lee W Bradshaw is a Psychiatric/Mental Health Clinical Nurse Specialist based in Salt Lake City, UT and is specialized in Psychiatric/Mental Health. Lee W Bradshaw practices in Ogden, UT and has the professional credentials of APRN. The NPI Number for Lee W Bradshaw is 1588660773 and holds a License No. 6242996-4405 (Utah).

The current practice location address for Lee W Bradshaw is 3903 Harrison Blvd, Ogden, UT and can be reached out via phone at 801-387-4930 and via fax at 801-387-9470. You can also correspond with Lee W Bradshaw through the mailing address at PO BOX 27128, SALT LAKE CITY, UT - 84127-0128 (mailing address contact number: 801-387-5600).

Location: 3903 Harrison Blvd, Ogden, UT, 84127-0128
person
Provider Profile Details
NPI Number
1588660773
Provider Name
Lee W Bradshaw
Credential
APRN
Provider Entity Type
Individual
Gender
Male
Address
3903 Harrison Blvd, Ogden, UT, 84127-0128
Phone Number
801-387-4930
Fax Number
801-387-9470
Provider Enumeration Date
06/22/2005
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
3903 Harrison Blvd
City
State
Zip
84403-8440
Phone Number
801-387-4930
Fax Number
801-387-9470
person
Provider Business Mailing Address Details
Address
Po Box 27128
City
State
Zip
84127-0128
Phone Number
801-387-5600
Fax Number
801-475-4720
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Clinical Nurse Specialist
Speciality
Psychiatric/Mental Health
Taxonomy
License No.
6242996-4405 (Utah)
Definition
Definition to come...
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