MS. Margie Dianne Bradshaw, LPN
NPI #1225186372 in Brandon, Mississippi
Provider Information
- NPI Number
- 1225186372
- Entity Type
- Individual
- Name
- MS. Margie Dianne Bradshaw, LPN
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Licensed Practical Nurse
- Credential
- LPN
- Enumeration Date
- Jan 8, 2007
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 823 JEFF GOODWIN ST
- City
- Brandon
- State
- Mississippi
- ZIP Code
- 39042-8763
- Phone
- (601) 825-7945
Specialties & Taxonomy Codes
| Specialty |
|---|
| Licensed Practical Nurse |
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