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

Stephanie Jeanelle Bradshaw, REGISTEREDDIETICIAN

Individual provider Registered Dietitian · NPI 1891273041

Stephanie Jeanelle Bradshaw, REGISTEREDDIETICIAN is a Registered Dietitian in Sierra Vista, Arizona. Practices as a sole proprietor. Licensed in Arizona.

Licensed in
AZ
In the registry since
2018

Practice location Address checks out

155 Calle Portal Ste 700
Sierra Vista, AZ 85635-2973
Phone: (520) 459-0203
Fax: (520) 459-3159
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Registered Dietitian (primary) Taxonomy 133V00000X · Licence 86071110 (AZ)

Record details

NPI number1891273041
Entity typeIndividual (Type 1)
GenderFemale
Credentials REGISTEREDDIETICIAN
Sole proprietorYes
NPI enumeratedJuly 31, 2018
Last updated in NPPESJuly 31, 2018

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