Search › Arizona › 2355S0801X
Shannon Bradshaw
NPI 1487321352 · on the registry since 2021 · sole proprietor
Practice
- Address
- 11455 E Sunland Ave
Mesa, AZ 85208 - Phone
- (480) 472-4075
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- 2355S0801X
2355S0801X
- Licence states on file
- AZ
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2021-08-26
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Arizona