National Provider Identifier

Nichole Denise Bradley

Nichole Denise Bradley is listed in the NPPES registry with a primary specialty of Licensed Vocational Nurse in Rochester, NY and a listed phone number of (585) 732-9091.

NPI 1508528126Rochester, NYLicensed Vocational Nurse

Profile Overview

NPI
1508528126
Provider Type
Individual
Primary Specialty
Licensed Vocational Nurse
Enumeration Date
October 11, 2021
Last Updated
October 11, 2021

Practice Location

  • 245 Ravenwood Ave
  • Rochester, NY 14619-1507

Phone: (585) 732-9091

Specialties

  • Licensed Vocational Nurse (164X00000X)
Full Record
NPI
1508528126
Entity Type
Individual
Last Name
Bradley
First Name
Nichole
Middle Name
Denise
Mailing Street Address
245 Ravenwood Ave
Mailing City
Rochester
Mailing State
NY
Mailing ZIP Code
14619-1507
Mailing Country
US
Mailing Phone
(585) 732-9091
Practice Street Address
245 Ravenwood Ave
Practice City
Rochester
Practice State
NY
Practice ZIP Code
14619-1507
Practice Country
US
Practice Phone
(585) 732-9091
Enumeration Date
October 11, 2021
Last Updated
October 11, 2021
Sex
Female
Sole Proprietor
No
Certification Date
October 11, 2021
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Licensed Vocational Nurse (164X00000X)