National Provider Identifier

Shalonda Bradley, LPN

Shalonda 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) 957-1449.

NPI 1689271983Rochester, NYLicensed Practical Nurse

Profile Overview

NPI
1689271983
Provider Type
Individual
Primary Specialty
Licensed Practical Nurse
Enumeration Date
October 08, 2020
Last Updated
October 08, 2020

Practice Location

  • 490 Sawyer St
  • Rochester, NY 14619-1712

Phone: (585) 957-1449

Specialties

  • Licensed Practical Nurse (164W00000X)
Full Record
NPI
1689271983
Entity Type
Individual
Last Name
Bradley
First Name
Shalonda
Credential
LPN
Mailing Street Address
490 Sawyer St
Mailing City
Rochester
Mailing State
NY
Mailing ZIP Code
14619-1712
Mailing Country
US
Mailing Phone
(585) 957-1449
Practice Street Address
490 Sawyer St
Practice City
Rochester
Practice State
NY
Practice ZIP Code
14619-1712
Practice Country
US
Practice Phone
(585) 957-1449
Enumeration Date
October 08, 2020
Last Updated
October 08, 2020
Sex
Female
Sole Proprietor
Yes
Certification Date
October 08, 2020
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Licensed Practical Nurse (164W00000X)