Shannon Leslie Bradbury, RN, FNP-BC | |
2050 N Haggerty Rd Ste 140, Canton, MI 48187-3796 | |
(734) 595-1166 | |
Not Available |
Full Name | Shannon Leslie Bradbury |
---|---|
Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 2050 N Haggerty Rd Ste 140, Canton, Michigan |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1285385377 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
163WM0705X | Registered Nurse - Medical-surgical | 4704340785 (Michigan) | Secondary |
363LF0000X | Nurse Practitioner - Family | 4704340785NSA220XB (Michigan) | Primary |
Entity Name | Michigan Healthcare Professionals Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1295023547 PECOS PAC ID: 0345413258 Enrollment ID: O20111109000027 |
Entity Name | Hometown Urgent Care Of Michigan Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1790030385 PECOS PAC ID: 8123270840 Enrollment ID: O20121204000095 |
Mailing Address | Practice Location Address |
---|---|
Shannon Leslie Bradbury, RN, FNP-BC 11357 Mcgregor Rd, Pinckney, MI 48169-9526 Ph: (734) 262-4520 | Shannon Leslie Bradbury, RN, FNP-BC 2050 N Haggerty Rd Ste 140, Canton, MI 48187-3796 Ph: (734) 595-1166 |
Lucinda Pryor, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1161 Stacy Dr, Canton, MI 48188 Phone: 313-740-5358 | |
Wendy Storey, CNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 49650 Cherry Hill Rd, Suite 210, Canton, MI 48187 Phone: 734-398-7899 Fax: 734-398-7895 | |
Molly Mcintyre, CNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 49650 Cherry Hill Rd, Suite 210, Canton, MI 48187 Phone: 734-398-7899 Fax: 734-398-7895 | |
Patricia Reckling, CNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 49650 Cherry Hill Rd, Suite 210, Canton, MI 48187 Phone: 734-398-7899 Fax: 734-398-7895 | |
Jaclyn Riley, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2050 N Haggerty Rd Ste 200, Canton, MI 48187 Phone: 313-550-3353 | |
Jennifer Martz, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 6300 N Haggerty Rd, Suite Number 210, Canton, MI 48187 Phone: 734-641-3000 | |
Katelyn Marie Carey, NP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 45300 Lothrop Rd, Canton, MI 48188 Phone: 734-812-9895 |