National Provider Identifier

Tiana Dalette Bradley, LPN

Tiana Dalette Bradley, LPN is listed in the NPPES registry with a primary specialty of Licensed Practical Nurse in Rochester, NY and a listed phone number of (585) 338-1727.

NPI 1417144189Rochester, NYLicensed Practical Nurse

Profile Overview

NPI
1417144189
Provider Type
Individual
Primary Specialty
Licensed Practical Nurse
Enumeration Date
September 26, 2007
Last Updated
September 26, 2007

Practice Location

  • 57 Zygment St
  • Rochester, NY 14621-2419

Phone: (585) 338-1727

Specialties

  • Licensed Practical Nurse (164W00000X)
Full Record
NPI
1417144189
Entity Type
Individual
Last Name
Bradley
First Name
Tiana
Middle Name
Dalette
Name Prefix
MS.
Credential
LPN
Mailing Street Address
57 Zygment St
Mailing City
Rochester
Mailing State
NY
Mailing ZIP Code
14621-2419
Mailing Country
US
Mailing Phone
(585) 338-1727
Practice Street Address
57 Zygment St
Practice City
Rochester
Practice State
NY
Practice ZIP Code
14621-2419
Practice Country
US
Practice Phone
(585) 338-1727
Enumeration Date
September 26, 2007
Last Updated
September 26, 2007
Sex
Female
Sole Proprietor
Yes
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Licensed Practical Nurse (164W00000X)