MRS. SHANTELL BRADLEY
Licensed Practical Nurse
Active
Individual
NPI: 1417432295
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | Yes | 238451 (NY) |
Frequently Asked Questions
NPI 1417432295 is the National Provider Identifier for MRS. SHANTELL BRADLEY, a Licensed Practical Nurse provider located in Massapequa, NY. This NPI was enumerated on September 27, 2018.
MRS. SHANTELL BRADLEY practices at 1 BAILEY DR, Massapequa, NY 11758.
Quick Facts
- NPI
- 1417432295
- Type
- Individual
- Enumerated
- Sep 27, 2018
- Last Updated
- Sep 27, 2018
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