Bradley Benslow
Individual provider Active NPI Community Health Registered Nurse · Sault Sainte Marie, MI
NPI 1154811032 · NPPES record last updated May 16, 2018
Key facts
- NPI
- 1154811032
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Community Health Registered Nurse 163WC1500X
- License
- 4704338167 (MI)
- Practice address
- 3865 S Mackinac TRL
Sault Sainte Marie, MI 49783-9286 - Phone
- (906) 632-2805
- Fax
- (906) 632-1163
- NPI assigned
- May 16, 2018
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4704338167 | MI | MD | Community Health Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Health Registered Nurse | 163WC1500X | 4704338167 | MI | Yes |
Addresses
Primary practice location
3865 S Mackinac TRL
Sault Sainte Marie, MI 49783-9286
Mailing address
3865 S Mackinac TRL
Sault Sainte Marie, MI 49783-9286
Other providers in Sault Sainte Marie, MI
- Joe Beccario
- Emily Elizabeth Beck
- Gail Becker
- Robert John Beckman
- Carla A Behling
- Madonna Barrette Benson
- Netausha Bergsma
- Pamela K Bernhardt
- Megan Billings
- Rosemary Blashill
All providers in Sault Sainte Marie, MI · Community Health Registered Nurse in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 16, 2018. 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.