NPI 1588660773
Lee W Bradshaw, APRN
Practice location
- Address
- 3903 Harrison Blvd #300, Ogden, UT 84403-8440
- Phone
- (801) 387-4930
- Fax
- (801) 387-9470
- Mailing address
- PO Box 27128, Salt Lake City, UT 84127-0128
Registered specialties
Psychiatric/Mental Health Clinical Nurse Specialist
Primary
Registry record
- NPI
- 1588660773
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 22 Jun 2005
- Record last updated
- 12 Jul 2022
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.