Whalio Doctors

NPI 1225186372

Margie Dianne Bradshaw, LPN

Practitioner Licensed Practical Nurse Brandon, MS

Practice location

Address
823 Jeff Goodwin St, Brandon, MS 39042-8763
Phone
(601) 825-7945
Fax
(601) 825-7945

Registered specialties

Licensed Practical Nurse Primary
Nursing Service Providers Taxonomy 164W00000X Licence P260448 (MS)

Registry record

NPI
1225186372
Entity type
Individual
Sex (as registered)
Female
NPI issued
8 Jan 2007
Record last updated
8 Jul 2007

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.