NPI 1821863069 · live from the CMS NPI Registry
Charli Bradshaw
Physician Assistant in North Andover, MA. National Provider Identifier 1821863069, active.
NPI record
| NPI | 1821863069 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Physician Assistant 363A00000X |
| Practice location | 419b Andover St, North Andover, MA 01845 |
| Practice phone | 978-620-5048 |
| Mailing address | 360 Us Highway 1 Byp Unit 102, Portsmouth, NH 03801 |
| Enumerated | November 17, 2023 |
| Last updated | September 4, 2025 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physician Assistant primary | 363A00000X | PA101919 (MA) |
| Physician Assistant | 363A00000X | 3534 (NH) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.