Individual ProviderMorgan Michelle BradshawNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersPractice Address3023 N Ballas Rd Ste 200d, Saint Louis, MO 63131-2328(314) 996-7272PECOS EnrollmentBased on the most recent information from CMS, provider Morgan Michelle Bradshaw does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1811625676Provider TypeIndividualFull NameBradshaw, Morgan MichelleCredentialNPGenderFemaleSole ProprietorNoEnumeration Date8/10/2022Last Updated8/10/2022Contact InformationPractice LocationPractice Address3023 N Ballas Rd Ste 200d, Saint Louis, MO 63131-2328Phone(314) 996-7272FaxUnlisted FaxMailing LocationMailing Address3023 N Ballas Rd Ste 200d, Saint Louis, MO 63131-2328Phone(314) 996-7272FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode363L00000XPrimaryDescriptionNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersLicense2022030386Missouri