NPI 1043982176

Tarnisha Diane Bradshaw, DSPPCA

Practitioner Adult Companion Fredericksburg, VA

Practice location

Address: 12200 Glade Dr, Fredericksburg, VA 22407-6281
Phone: (540) 760-3946

Registered specialties

Adult Companion Primary

Nursing Service Related Providers Taxonomy 372600000X

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Registry record

NPI: 1043982176
Entity type: Individual
Sex (as registered): Female
NPI issued: 28 Sep 2021
Record last updated: 28 Sep 2021

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.