STACY BRADSHAW (NPI# 1073944773) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073944773 |
| Entity Type | Individual |
| Full Name | STACY BRADSHAW |
| Credential | FNP |
| Practice Address |
601 New Castle Ave Wilmington DE 19801-5821 |
| Practice Telephone | 3026556187 |
| Mailing Telephone | 3026556187 |
| Enumeration Date | 2013-12-05 |
| Last Update Date | 2013-12-05 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
LG-0000715 | DE | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
601 NEW CASTLE AVE |
| City | WILMINGTON |
| State | DE |
| Zip Code | 19801-5821 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710901012 | Charles G Case | Family Medicine | 601 New Castle Ave, Wilmington, DE 19801-5821 | 2006-07-27 |
| 1609389477 | Valeria Marie Muhammad | Nurse Practitioner | 601 New Castle Ave, Wilmington, DE 19801-5821 | 2017-11-14 |
| 1013447952 | Vavah Fiase | Physician Assistant | 601 New Castle Ave, Wilmington, DE 19801-5821 | 2017-06-13 |
| 1881138337 | Tina Solomon | Nurse Practitioner | 601 New Castle Ave, Wilmington, DE 19801-5821 | 2016-12-16 |
| 1063816312 | Lekesha Mcphail | Registered Nurse | 601 New Castle Ave, Wilmington, DE 19801-5821 | 2014-10-15 |
| 1407117724 | Stanley Ogden Dunn Jr. | Pediatrics | 601 New Castle Ave, Wilmington, DE 19801-5821 | 2012-06-04 |
| 1235386939 | Jendayi Gantt | Advanced Practice Midwife | 601 New Castle Ave, Wilmington, DE 19801-5821 | 2008-08-25 |
| 1750406955 | Flavius A. Akerele | Obstetrics & Gynecology | 601 New Castle Ave, Wilmington, DE 19801-5821 | 2007-03-20 |
| 1083747521 | Zita Aquino | Dentist | 601 New Castle Ave, Dental Clinic, Wilmington, DE 19801-5821 | 2007-03-13 |
| 1912006552 | Yvette Nicholson Gbemudu | Family Medicine | 601 New Castle Ave, Wilmington, DE 19801-5821 | 2006-09-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386126068 | Meghan Cullen | Specialist/Technologist | 401 Garasches Lane, Wilmington, DE 19801 | 2018-08-30 |
| 1497257851 | Jevs Human Services | Psychologist | 300 Delaware Avenue, Suite 210, Wilmington, DE 19801 | 2018-03-01 |
| 1134627144 | Limen House, Inc | Substance Abuse Rehabilitation Facility | 1104 N. Adams Street / Triad, Wilmington, DE 19801 | 2018-01-24 |
| 1538698980 | Triad Ministry Inc | Community/Behavioral Health | 1104 N. Adams Street, Wilmington, DE 19801 | 2017-06-08 |
| 1649706086 | Fhr -act Program | Health Maintenance Organization | 103a Rogers Rd., Wilmington, DE 19801 | 2017-05-04 |
| 1275080707 | Suzanne Isenberg | Social Worker | 103 Rogers Roaad, Wilmington, DE 19801 | 2016-09-01 |
| 1467815191 | Jenna Leigh Laughlin | Internal Medicine | 501 W 14th St., Wilmington, DE 19801 | 2016-03-31 |
| 1962830430 | Antoinette L. Rodriguez | Counselor | 500 W 10th St., Connections Community Support Programs Inc., Wilmington, DE 19801 | 2013-10-21 |
| 1104173509 | Connections Community Support Programs, Inc. | Clinic/Center | 500 W. 10th Street, Wilmington, DE 19801 | 2012-08-06 |
| 1366719916 | Richard Mclaughlin | Counselor | 109 W. 7th St, Crossroads of Delaware, Wilmington, DE 19801 | 2011-11-28 |
| Find all providers in zip 19801 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609488428 | Samantha Kuhlman | Nurse Practitioner | 1509 Doctors Cir Bldg C, Wilmington, NC 28401-7403 | 2020-08-21 |
| 1023630290 | Carole King Stevenson | Nurse Practitioner | 1111 Figueroa Pl # Tech115, Wilmington, CA 90744-2311 | 2020-05-11 |
| 1962031039 | Jasmine Marie Locklear | Nurse Practitioner | 2550 41st St, Wilmington, NC 28403-5519 | 2020-04-02 |
| 1811558422 | Emma Rose Boisvert I | Nurse Practitioner | Deerfield Valley Health Center, 30 Route 100 South, Wilmington, VT 05363-0536 | 2019-06-25 |
| 1922569482 | Joy Peterson | Nurse Practitioner | 1815 W 13th St Ste 1, Wilmington, DE 19806-4054 | 2019-03-27 |
| 1104382308 | Caitlin Gallagher | Nurse Practitioner | 608 Dawson St Ste 103, Wilmington, NC 28401-5712 | 2019-02-13 |
| 1407344476 | Adelle Grant-mcauley | Nurse Practitioner | 3521 Silverside Rd., Quillen Building Suite 2j, Wilmington, DE 19810 | 2018-04-25 |
| 1538674767 | Angela M Mcnulty | Nurse Practitioner | 3521 Silverside Rd Ste 1c, Wilmington, DE 19810-4900 | 2017-12-11 |
| 1851804694 | Laura Jean Cornelis | Nurse Practitioner | 908b East 16th Street, Wilmington, DE 19802 | 2017-11-15 |
| 1952825168 | Alicia Camille Vogleson | Nurse Practitioner | 2601 Annand Dr Ste 3, Wilmington, DE 19808-3719 | 2017-07-29 |
| Find all providers in WILMINGTON | ||||
| City | WILMINGTON |
| Zip Code | 19801 |
Please comment or provide details below to improve the information on STACY BRADSHAW.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.