Provider Demographics
NPI:1528795259
Name:BRADSHER, JANET M (RN)
Entity type:Individual
Prefix:
First Name:JANET
Middle Name:M
Last Name:BRADSHER
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3150 ENTERPRISE DR
Mailing Address - Street 2:
Mailing Address - City:SAGINAW
Mailing Address - State:MI
Mailing Address - Zip Code:48603-2310
Mailing Address - Country:US
Mailing Address - Phone:989-249-0929
Mailing Address - Fax:989-249-1147
Practice Address - Street 1:3150 ENTERPRISE DR
Practice Address - Street 2:
Practice Address - City:SAGINAW
Practice Address - State:MI
Practice Address - Zip Code:48603-2310
Practice Address - Country:US
Practice Address - Phone:989-249-0929
Practice Address - Fax:989-249-1147
Is Sole Proprietor?:No
Enumeration Date:2022-08-03
Last Update Date:2022-08-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4704153619163WH0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WH0200XNursing Service ProvidersRegistered NurseHome Health