| Taylor Noelle Bradshaw, CNP | |
|
345 10th Ave, Granite Falls, MN 56241-1442 | |
| (320) 564-6200 | |
| Not Available |
| Full Name | Taylor Noelle Bradshaw |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 5 Years |
| Location | 345 10th Ave, Granite Falls, Minnesota |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750044947 | NPI | - | NPPES |
| 11327 | Other | MN | 11327 |
| A166120 | Other | IA | IOWA BOARD OF NURSING |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | A166120 (Iowa) | Secondary |
| 363L00000X | Nurse Practitioner | A166120 (Iowa) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Osceola Community Hospital | Sibley, IA | Hospital |
| Avera Mckennan Hospital & University Health Center | Sioux falls, SD | Hospital |
| Avera Tyler Hospital | Tyler, MN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Avera Mckennan | 0345157103 | 957 |
| Osceola Community Hospital Inc | 5799692372 | 13 |
| Entity Name | Avera Mckennan |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1336111962 PECOS PAC ID: 0345157103 Enrollment ID: O20040206000384 |
| Entity Name | Osceola Community Hospital Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1780751222 PECOS PAC ID: 5799692372 Enrollment ID: O20040310001378 |
| Entity Name | Osceola Community Hospital Inc |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1780751222 PECOS PAC ID: 5799692372 Enrollment ID: O20061104000086 |
| Entity Name | Signify Health Medical Associates PLLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1750845863 PECOS PAC ID: 2163764424 Enrollment ID: O20191217001453 |
| Mailing Address | Practice Location Address |
|---|---|
| Taylor Noelle Bradshaw, CNP 218 2nd Ave, Little Rock, IA 51243-1001 Ph: (515) 975-1095 | Taylor Noelle Bradshaw, CNP 345 10th Ave, Granite Falls, MN 56241-1442 Ph: (320) 564-6200 |