Provider Demographics
NPI:1255793071
Name:BRADSHAW, SARAH JEANNE NOAH (FNP-C)
Entity type:Individual
Prefix:MRS
First Name:SARAH
Middle Name:JEANNE NOAH
Last Name:BRADSHAW
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:MISS
Other - First Name:SARAH
Other - Middle Name:JEANNE
Other - Last Name:NOAH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:1106 CLAYTON LN STE 102W
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78723-2433
Mailing Address - Country:US
Mailing Address - Phone:512-872-6868
Mailing Address - Fax:
Practice Address - Street 1:1106 CLAYTON LN STE 102W
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78723-2433
Practice Address - Country:US
Practice Address - Phone:512-872-6868
Practice Address - Fax:877-370-4267
Is Sole Proprietor?:No
Enumeration Date:2016-03-22
Last Update Date:2025-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP130452363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily