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NPI Code Detail

MEDICARE: HILLARY BRADSHER RN

MEDICARE:   HILLARY  BRADSHER  RN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1163W00000XRegistered Nurse844092TX

General Provider Information

NPI Number : 1194601021
Entity Type Code : Individual
Provider Name (Legal Business Name) : HILLARY BRADSHER RN
Provider Business Mailing Address
First Line : 2815 CROWNSPOINT DR
Second Line :
City : AUSTIN
State : TX
Zip : 78748-5157
Country : US
Telephone Number : 512-633-0796
Fax Number :
Provider Business Practice Location Address
First Line : 2815 CROWNSPOINT DR
Second Line :
City : AUSTIN
State : TX
Zip : 78748-5157
Country : US
Telephone Number : 512-633-0796
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/14/2025
Last Update Date : 08/14/2025

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