Christalyn Bradshaw, RN
Individual provider Active NPI Registered Nurse · Williamstown, NJ
NPI 1104351790 · NPPES record last updated Apr 21, 2017
Key facts
- NPI
- 1104351790
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Nurse 163W00000X
- License
- 26NR15122800 (NJ)
- Practice address
- 1708 Summersweet Dr
Williamstown, NJ 08094-3391 - Phone
- (856) 625-0465
- NPI assigned
- Apr 21, 2017
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 26NR15122800 | NJ | MD | Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 26NR15122800 | NJ | Yes |
Addresses
Primary practice location
1708 Summersweet Dr
Williamstown, NJ 08094-3391
Mailing address
1708 Summersweet Dr
Williamstown, NJ 08094-3391
Phone (856) 625-0465
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003356452 | Other | PA | PERSONAL CARE HOME C & G |
Other providers in Williamstown, NJ
- Arman H Bhuiyan
- Kamalpreet Bhullar
- Blessed Hands Home Health Care
- Blessed Paths LLC
- Jonathan Boyd
- Frances Brennan
- Kaneice Bridges
- Bright Thinkers LLC
- David M. Briller
- Brownstone Center for Wellness, LLC
All providers in Williamstown, NJ · Registered Nurse in New Jersey
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 21, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.