National Provider Identifier

Shadel Bradford, LPN

Shadel Bradford, 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) 317-1961.

NPI 1508274838Rochester, NYLicensed Practical Nurse

Profile Overview

NPI
1508274838
Provider Type
Individual
Primary Specialty
Licensed Practical Nurse
Enumeration Date
July 30, 2014
Last Updated
July 07, 2025

Practice Location

  • 839 Flower City Park
  • Rochester, NY 14615-3624

Phone: (585) 317-1961

Mailing Address

  • 63 Allandale Dr
  • Rochester, NY 14624-2052

Specialties

  • Licensed Practical Nurse (164W00000X)
Full Record
NPI
1508274838
Entity Type
Individual
Last Name
Bradford
First Name
Shadel
Credential
LPN
Mailing Street Address
63 Allandale Dr
Mailing City
Rochester
Mailing State
NY
Mailing ZIP Code
14624-2052
Mailing Country
US
Mailing Phone
(585) 664-9004
Practice Street Address
839 Flower City Park
Practice City
Rochester
Practice State
NY
Practice ZIP Code
14615-3624
Practice Country
US
Practice Phone
(585) 317-1961
Enumeration Date
July 30, 2014
Last Updated
July 07, 2025
Sex
Female
Sole Proprietor
Yes
Certification Date
July 07, 2025
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Licensed Practical Nurse (164W00000X)