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

Mary Theresa Bradshaw, NP

Individual provider Family Nurse Practitioner · NPI 1083290928

Mary Theresa Bradshaw, NP is a Family Nurse Practitioner in New York, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2021
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

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Practice location Address checks out

630 W 168th St
New York, NY 10032-3725
Phone: (212) 305-2500
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence F342967-1 (NY)

Record details

NPI number1083290928
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP
Sole proprietorYes
NPI enumeratedMarch 22, 2021
Last updated in NPPESMarch 22, 2021
Certification dateMarch 22, 2021

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