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

Koren H. Bradshaw, MS, CLC

Individual provider Nutrition Education Nutritionist · NPI 1205308012

Koren H. Bradshaw, MS, CLC is a Nutrition Education Nutritionist in Fairfield, Connecticut. Practices as a sole proprietor. Registered with an NPI since 2018.

In the registry since
2018
Specialties on file
3
What do these letters mean?
MS — Master of Science
A graduate science degree.

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Practice location Address checks out

32 Ermine St
Fairfield, CT 06824-5109
Phone: (617) 827-5223
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nutritionist (primary) Taxonomy 133N00000X
Nutrition Education Nutritionist Taxonomy 133NN1002X
Lactation Consultant (Non-RN) Taxonomy 174N00000X

Record details

NPI number1205308012
Entity typeIndividual (Type 1)
GenderFemale
Credentials MS , CLC
Sole proprietorYes
NPI enumeratedDecember 19, 2018
Last updated in NPPESDecember 19, 2018

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