| Mrs Natalie Havens Bradshaw, FNP-C | |
|
2785 Highway 49 S Ste B, Florence, MS 39073-9411 | |
| (601) 891-8657 | |
| (949) 561-5551 |
| Full Name | Mrs Natalie Havens Bradshaw |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 2785 Highway 49 S Ste B, Florence, Mississippi |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871275024 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 906096 (Mississippi) | Primary |
| Entity Name | Southern Diabetes Care Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1578133278 PECOS PAC ID: 3577969138 Enrollment ID: O20210907001621 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Natalie Havens Bradshaw, FNP-C 856 Highway 469 S, Florence, MS 39073-9066 Ph: (662) 902-5387 | Mrs Natalie Havens Bradshaw, FNP-C 2785 Highway 49 S Ste B, Florence, MS 39073-9411 Ph: (601) 891-8657 |
Laurie Robinson, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 218 E Main St, Florence, MS 39073 Phone: 601-845-6602 Fax: 601-845-6164 | |
Bradley Keith Shields, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 128 Earl Clark Dr, Florence, MS 39073 Phone: 601-891-8465 Fax: 601-891-8468 | |
Abbey Ross, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 236 Pierce Rd, Florence, MS 39073 Phone: 601-665-5999 | |
Tina Chandler, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 125 Earl Clark Dr, Florence, MS 39073 Phone: 601-891-8657 Fax: 949-561-5551 | |
April Melanie Sylvia, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 404 Copper Ridge Dr, Florence, MS 39073 Phone: 601-421-1120 | |
Margo Wilson Garrett, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 218 E Main St, Florence, MS 39073 Phone: 601-845-6602 Fax: 601-845-6164 | |
Katelyn Jo Buckley, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 171 Oak Hill Dr, Florence, MS 39073 Phone: 601-573-6297 |