MEDICARE: ALANNA BRADSHAW

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
1	251B00000X	Case Management Agency

General Provider Information

NPI Number	:	1760947535
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALANNA BRADSHAW

Provider Business Mailing Address
First Line	:	7710 READING RD STE 112
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45237-2809
Country	:	US
Telephone Number	:	513-245-9114
Fax Number	:	513-440-1638

Provider Business Practice Location Address
First Line	:	7710 READING RD STE 112
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45237-2809
Country	:	US
Telephone Number	:	513-245-9114
Fax Number	:	513-440-1638

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/06/2019
Last Update Date	:	02/06/2019

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Directions to “ ALANNA BRADSHAW ” Practice Location

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