Provider Demographics
NPI:1467349993
Name:BRADSHAW, SHARMILA (FNP)
Entity type:Individual
Prefix:
First Name:SHARMILA
Middle Name:
Last Name:BRADSHAW
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:SHARMILA
Other - Middle Name:
Other - Last Name:BHASINKA
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:201 BRIARWOOD DR
Mailing Address - Street 2:
Mailing Address - City:MEBANE
Mailing Address - State:NC
Mailing Address - Zip Code:27302-7101
Mailing Address - Country:US
Mailing Address - Phone:910-584-4722
Mailing Address - Fax:
Practice Address - Street 1:430 WATERSTONE DR
Practice Address - Street 2:
Practice Address - City:HILLSBOROUGH
Practice Address - State:NC
Practice Address - Zip Code:27278-9078
Practice Address - Country:US
Practice Address - Phone:984-215-2100
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-06-18
Last Update Date:2025-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCF06251276363LP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary CareGroup - Single Specialty