Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Atalie M Bradshaw, FNP-C

Individual provider Family Nurse Practitioner · NPI 1962148072

Atalie M Bradshaw, FNP-C is a Nurse Practitioner in American Fork, Utah. Qualified in 2022, 4 years ago. Practices with Revere Health PC, a 410-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Utah.

Years since qualifying
4
Licensed in
UT
In the registry since
2022
What do these letters mean?
FNP-C — Family Nurse Practitioner, Certified
A family nurse practitioner certified by the AANP.

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Practice location Address checks out

1175 E 50 S Ste 171
American Fork, UT 84003-2845
Phone: (801) 354-8225
Fax: (801) 418-0941
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 65 S Mario Capecchi Dr, Salt Lake City, UT 84132-0005 — (801) 581-2352

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 10215609-4405 (UT)

Record details

NPI number1962148072
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP-C
Sole proprietorYes
NPI enumeratedMay 11, 2022
Last updated in NPPESJuly 12, 2022
Certification dateJuly 12, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Revere Health Pc — 410 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in American Fork