Bradley Keith Shields Valid NPI

Individual provider · Nurse Practitioner · Florence, MS

NPI

1073086005

Type

Individual (Type 1)

Primary specialty

Nurse Practitioner

Specialty group

Physician Assistants & Advanced Practice Nursing Providers

Taxonomy code

363L00000X

License number

903096 (MS)

Sex

Male

Sole proprietor

No

Enumerated

2019-01-02

Last updated

2019-01-02